Marcy Grant Hendrix

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8493 Issued in FL

Practice address

2760 Dora Ave
Tavares, FL 32778-4970

Phone

(352) 742-7837

Fax

(352) 508-5113

NPI assigned

Mar 8, 2007

Last updated

Feb 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Marcy Lynn Grant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1366573883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10336 VISTA PINES LOOP",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119172",
            "telephone_number": "352-461-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784970",
            "telephone_number": "352-742-7837",
            "fax_number": "352-508-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "MARCY",
        "middle_name": "GRANT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892048500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "GRANT",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heart Care & Vascular Medicine P a
• Hearts of Gold Companion Care LLC
• Kaitlyn Heffner
• Elizabeth Dawn Heiman
• Corey H Henderson, MD
• Amberlee K. Henson, PSYD
• Keishla Hernandez Cruz, FNP
• Joseph Alix Hilaire
• Donna Marie Hilgendorf, OD OPTOMETRIST
• Desiree Hill

• Speech-Language Pathologist in Tavares, FL
• Providers in Tavares, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.