Individual provider Active NPI

Grace Knebelsberger, SLPA

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1316787435
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPA14896 Issued in AZ
Practice address
1337 S Gilbert Rd Ste 105
Mesa, AZ 85204-6074
Phone
(480) 530-0890
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPA14896 AZ Primary

Addresses

Primary practice location

1337 S Gilbert Rd Ste 105
Mesa, AZ 85204-6074

Mailing address

40192 N Vincenza St
San Tan Valley, AZ 85140-7851
Phone (480) 685-0959

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

State licenses

LicenseStateTypeSpecialty
SLPA14896AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1316787435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40192 N VINCENZA ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407851",
            "telephone_number": "480-685-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S GILBERT RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046074",
            "telephone_number": "480-530-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEBELSBERGER",
        "first_name": "GRACE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPA14896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.