Active NPI
Mariah Grams
- Speech-Language Pathologist
- Andover, MN
National Provider Identifier
1467948901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1891 Station Pkwy NW
Andover, MN 55304 - Phone
- (763) 755-4275
- NPI assigned
- Jul 9, 2018
- 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 | MN | Primary |
Addresses
Primary practice location
1891 Station Pkwy NW
Andover, MN 55304
Mailing address
1891 Station Pkwy NW
Andover, MN 55304-3341
Phone (763) 755-4275
Other practice location 1
2344 Helen St N
North St Paul, MN 55109-2942
Phone (651) 773-5988
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1467948901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 STATION PKWY NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553043341",
"telephone_number": "763-755-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 STATION PKWY NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "55304",
"telephone_number": "763-755-4275"
}
],
"practiceLocations": [
{
"address_1": "2344 Helen St N",
"address_purpose": "LOCATION",
"city": "North St Paul",
"state": "MN",
"postal_code": "551092942",
"country_code": "US",
"telephone_number": "651-773-5988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAMS",
"first_name": "MARIAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.