Individual provider Active NPI

Emily Jean Grims

  • Speech-Language Pathologist
  • Richford, VT
National Provider Identifier
1427715564
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
144.0115001 Issued in VT
Practice address
670 King Rd
Richford, VT 05476-9509
Phone
(802) 848-3908
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 144.0115001 VT Primary

Addresses

Primary practice location

670 King Rd
Richford, VT 05476-9509

Mailing address

PO Box 1220
Enosburg Falls, VT 05450-1220
Phone (802) 242-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily@northernvtspeech.com Health Information Exchange (HIE)

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
144.0115001VTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Vermont Speech Therapy, PLC CurrentSince Nov 28, 2021 Accepting new patients

Organizations & group practices 1

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1427715564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054501220",
            "telephone_number": "802-242-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 KING RD",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054769509",
            "telephone_number": "802-848-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMS",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0115001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@northernvtspeech.com",
            "affiliation": "N",
            "endpointDescription": "business owner's HIPAA compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "670 King Rd",
            "city": "Richford",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054769509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.