Kory Mae Gross

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA16232 Issued in AZ

Practice address

812 Valley St
Prescott, AZ 86305-1826

Phone

(928) 445-1309

Fax

(928) 441-1291

NPI assigned

Sep 4, 2025

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1265312854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 VALLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051826",
            "telephone_number": "928-445-1309",
            "fax_number": "928-441-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 VALLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051826",
            "telephone_number": "928-445-1309",
            "fax_number": "928-441-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KORY",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA16232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg P Standage MD
• Scott Adam Gregorowicz, PMHNP-BC
• Stacy Michelle Gregory, PMHNP
• Joseph Patrick Griffin Jr.
• Larry L. Grimm, ED.D.
• Annette Marie Guidry-Dunbar, MS,CCC-SLP
• Caitlin Marie Guinn, APRN, FNP-BC
• Stephen M Gulley, PHARMACIST
• Marguerite Ann Gundacker, LPC
• Dove Marie Gundermann

• Speech-Language Assistant in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.