Individual provider Active NPI

Lynn Moran-Grap

  • Speech-Language Pathologist
  • Severna Park, MD
National Provider Identifier
1386000909
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01609 Issued in MD
Practice address
42 Holly Rd
Severna Park, MD 21146-2410
Phone
(410) 570-0011
Fax
(410) 544-9488
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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 01609 MD Primary

Addresses

Primary practice location

42 Holly Rd
Severna Park, MD 21146-2410

Mailing address

42 Holly Rd
Severna Park, MD 21146-2410
Phone (410) 570-0011

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

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1386000909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HOLLY RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462410",
            "telephone_number": "410-570-0011",
            "fax_number": "410-544-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HOLLY RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462410",
            "telephone_number": "410-570-0011",
            "fax_number": "410-544-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN-GRAP",
        "first_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.