Active NPI
Elizabeth Gragg, SLP-CCC
- Speech-Language Pathologist
- Gallatin, TN
National Provider Identifier
1316251994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6717
- Practice address
- 695 E Main St
Gallatin, TN 37066-2472 - Phone
- (423) 622-1551
- NPI assigned
- Aug 5, 2010
- Last updated
- Aug 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6717 | TN | Primary |
Addresses
Primary practice location
695 E Main St
Gallatin, TN 37066-2472
Mailing address
PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6717 | Other | TN | TN HEALTH LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6717 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1316251994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8114",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374140114",
"telephone_number": "423-622-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 E MAIN ST",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662472",
"telephone_number": "423-622-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAGG",
"first_name": "ELIZABETH",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "6717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN HEALTH LICENSE",
"identifier": "6717",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.