Alyssa Lynn Grimes, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12156751 Issued in MA

Practice address

105 E Grove St
Middleboro, MA 02346-2743

Phone

(508) 947-3634

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Alyssa Lynn Watling Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1457785826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LADY SLIPPER TRL",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027702130",
            "telephone_number": "508-264-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E GROVE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462743",
            "telephone_number": "508-947-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "ALYSSA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "12156751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "WATLING",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Gomes Jr., D.M.D
• Suzanne Marie Gomez
• Samantha Ruth Gosson
• Jesse Grady, BCBA
• Sarah Elizabeth Graham, LMHC
• Debra Gross, MA
• Laura Jennifer Guenette, LMHC
• Gursewak S. Sandhu, MD, PC
• Brittany Ann Guyder
• Richard Hacker, DPM

• Speech-Language Pathologist in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.