Kelly Grisafe, M.A. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242004179 Issued in IL

Practice address

2901 Finley Rd Ste 101
Downers Grove, IL 60515-1394

Phone

(630) 792-1800

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Milestones for Kids Success, PC

  • Early Intervention Provider Agency
  • Downers Grove, IL
  • NPI 1598821308

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1235687633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 FINLEY RD STE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151394",
            "telephone_number": "630-792-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 FINLEY RD STE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151394",
            "telephone_number": "630-792-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISAFE",
        "first_name": "KELLY",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G Grieco, MD
• Robert Griesemer, M.D.
• Monika Griffel, MHS, CCC-SLP
• Brooke Griffin, PHARMD
• Bill H Grimm, PH.D.
• Shannon Gritzenbach, MD
• Keriann Groen, DPT
• Gary M Grosel, MD
• Grounded Therapy PLLC
• Grove Dental Associates., P.C.

• Speech-Language Pathologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.