Tyronecia Grase

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010076 Issued in VA

Practice address

2 Patriot Cres
Hampton, VA 23666-2815

Phone

(901) 220-4094

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Grase Speak Life Speech Therapy & Associates LLC

  • Speech-Language Pathologist
  • Norfolk, VA
  • NPI 1457151995
  NPD Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1245847110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PATRIOT CRES",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PATRIOT CRES",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662815",
            "telephone_number": "901-220-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASE",
        "first_name": "TYRONECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas N Grabowski, D.M.D
• Jerald Maurice Grace, PHARMD
• Aaron Lovell Graham, LMSW
• Ann Graham, LCSW
• Granting Serentiy Group LLC
• Leni Lavern Gray-Wilson, PHARM.D.
• Jennifer Margaret Gray, PHARMD
• Jessica Meagan Gray, PSY.D.
• Justin J Gray, DPT, ATC,CSCS
• Laura Lindsay Gray, DPT MBA MED CERT MDT

• Speech-Language Pathologist in Hampton, VA
• Providers in Hampton, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.