Grow Boldly Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

GROW BOLDLY SPEECH THERAPY, LLC

Practice address

1038 Wilmot PL
St Johns, FL 32259-5948

Phone

(904) 297-5483

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristyn Kendrick Cullen, MA, CCC-SLP

Title

Owner

Phone

(904) 537-1659

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristyn Kendrick

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1164803755
  NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1467140426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 WILMOT PL",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322595948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 WILMOT PL",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322595948",
            "telephone_number": "904-297-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW BOLDLY SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_middle_name": "KENDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-537-1659",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Leffler Gridley, M.S., CCC-SLP
• Griffith Speech and Language LLC
• Kristina Marie Griffith, MA
• Robert Lee Grigsby III, M.D.
• Clay Grimes, AG-ACNP
• Jennifer Meyering Grubbs, NBC-HWC, MFS
• Guardian Physician Group LLC
• Kelsie Florence Gurley
• Karissa A. Gussmann, SLP
• H2 Rehabilitation Services of Florida LLC (H2 Health)

• Hearing and Speech Clinic/Center in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.