First Coast Speech & Language Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6782 Issued in FL

Legal business name

FIRST COAST SPEECH & LANGUAGE SERVICES, LLC

Practice address

1571 Rivertrace Dr
Fleming Island, FL 32003-7778

Phone

(904) 631-1525

Fax

(904) 215-1242

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Elaine Grady, M.S. CCC-SLPNPI 1386610475

Title

Managing Member

Phone

(904) 631-1525

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Elaine Grady

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1386610475
  NPD (past) Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1447489240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 RIVERTRACE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037778",
            "telephone_number": "904-631-1525",
            "fax_number": "904-215-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 RIVERTRACE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037778",
            "telephone_number": "904-631-1525",
            "fax_number": "904-215-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST SPEECH & LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-631-1525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888893100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Partners of Northeast Florida LLC
• Lori Featheringill, LMHC
• Robert Zachary Ferdman, M.D.
• Gabriela Michelle Figueroa I
• First Coast Cardiovascular Institute, LLC
• First Primary Care & Family Medicine Inc
• First Primary Care and Family Medicine, Inc.
• Fleming Island Pharmacy LLC
• Fleming Island Plastic Surgery LLC
• Fleming Island Plastic Surgery LLC

• Speech-Language Pathologist in Fleming Island, FL
• Providers in Fleming Island, 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 Jul 14, 2009; 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.