Holly Grisdela

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110830 Issued in TX

Practice address

6500 Champion Grandview Way Apt 40106
Austin, TX 78750-8438

Phone

(810) 923-1242

NPI assigned

Jan 7, 2015

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1356739775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CHAMPION GRANDVIEW WAY",
            "address_2": "40106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508223",
            "telephone_number": "810-923-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CHAMPION GRANDVIEW WAY APT 40106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508438",
            "telephone_number": "810-923-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISDELA",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Ann Grinberg, LCSW
• Marsha Renee Grines
• Carol Grinnell
• Madison Grinnell
• Diane S Grisamore, PHARMD
• Catlin Lee Grisham-Takac, PHARMD
• Tiffany A Grisham, LMSW
• Kayla Grissett, MSW, LMSW
• Elisa M Griswold, DO
• Boris A Gritzka, MD

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.