Individual provider Active NPI

Tuesday Eleanor Grey, SLP

  • Speech-Language Pathologist
  • Granville, NY
National Provider Identifier
1376797654
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018066 Issued in NY
Practice address
19 Morrison Ave
Granville, NY 12832-1633
Phone
(518) 572-6718
NPI assigned
Nov 12, 2008
Last updated
Apr 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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 018066 NY Primary

Addresses

Primary practice location

19 Morrison Ave
Granville, NY 12832-1633

Mailing address

185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837
Phone (518) 561-6361

Other names 1

  • Rachel Mashtare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220812001368 CA Practitioner - Qualified Speech Language Pathologist 4183007982 Reassigns benefits to 1 organization
I20230214001919 NY Practitioner - Qualified Speech Language Pathologist 4183007982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018066NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Feb 1, 2023 Accepting new patients
Speech Therapy Health PLLC Speech-Language Pathologist CurrentSince Apr 16, 2023 Accepting new patients

Locations

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1376797654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MARGARET ST",
            "address_2": "SUITE 1000",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011837",
            "telephone_number": "518-561-6361",
            "fax_number": "518-561-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MORRISON AVE",
            "city": "GRANVILLE",
            "state": "NY",
            "postal_code": "128321633",
            "telephone_number": "518-572-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "TUESDAY",
        "middle_name": "ELEANOR",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MASHTARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.