Active NPI
Carrie Grohol, MS, CCC-SLP
- Speech-Language Pathologist
- Towanda, PA
National Provider Identifier
1295890382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL007557
- Practice address
- 91 Hospital Dr
Towanda, PA 18848-9702 - Phone
- (570) 268-2385
- Fax
- (570) 268-2379
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SL007557 | PA | Primary |
Addresses
Primary practice location
91 Hospital Dr
Towanda, PA 18848-9702
Mailing address
91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 268-2385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001961411 | Other | PA | MA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL007557 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1295890382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 HOSPITAL DR",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489702",
"telephone_number": "570-268-2385",
"fax_number": "570-268-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 HOSPITAL DR",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188489702",
"telephone_number": "570-268-2385",
"fax_number": "570-268-2379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROHOL",
"first_name": "CARRIE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2021-03-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL007557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA NUMBER",
"identifier": "001961411",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towanda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.