Individual provider Active NPI

Grace Messersmith

  • Speech-Language Pathologist
  • Beech Grove, IN
National Provider Identifier
1215548144
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22007538A Issued in IN
Practice address
501 N 17TH Ave
Beech Grove, IN 46107
Phone
(317) 786-2261
NPI assigned
Aug 13, 2020
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22007538A IN Primary

Addresses

Primary practice location

501 N 17TH Ave
Beech Grove, IN 46107

Mailing address

501 N 17TH Ave
Beech Grove, IN 46107-1169

Other names 1

  • Miss Grace Connelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818002353 IN Practitioner - Qualified Speech Language Pathologist 1456777697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1315 John St
Anderson, IN 46016-3559
Phone (765) 233-9358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22007538AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Speech-Language Pathologist CurrentSince Aug 1, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Sep 20, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Sep 20, 2022 Accepting new patients
Creative Health Care Management LLC Speech-Language Pathologist CurrentSince Aug 1, 2020 Accepting new patients

Locations

501 N 17th Ave
Beech Grove, IN 46107
Phone (317) 786-2261

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

7960 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 376-4639

10 S 9th St
Ste 4
Noblesville, IN 46060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1215548144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 17TH AVE",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 17TH AVE",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "46107",
            "telephone_number": "317-786-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007538A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "CONNELLY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beech Grove, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.