Active NPI
Deana J. Grant
- Speech-Language Pathologist
- Central, SC
National Provider Identifier
1457594558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1017
- Practice address
- 312 Morgan Dr
Central, SC 29630-3301 - Phone
- (864) 654-7702
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1017 | SC | Primary |
Addresses
Primary practice location
312 Morgan Dr
Central, SC 29630-3301
Mailing address
312 Morgan Dr
Central, SC 29630-3301
Phone (864) 654-7702
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": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1457594558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 MORGAN DR",
"city": "CENTRAL",
"state": "SC",
"postal_code": "296303301",
"telephone_number": "864-654-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 MORGAN DR",
"city": "CENTRAL",
"state": "SC",
"postal_code": "296303301",
"telephone_number": "864-654-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DEANA",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "1017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.