Active NPI
Lindsey Katherine Barron-Grunditz, SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1477083707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP11164
- Practice address
- 2302 N 15TH Ave
Phoenix, AZ 85007-1201 - Phone
- (623) 242-6908
- Fax
- (623) 242-6909
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP11164 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SLP11164 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2302 N 15TH Ave
Phoenix, AZ 85007-1201
Mailing address
14557 W Indian School Rd Ste 500
Goodyear, AZ 85395-9218
Phone (623) 242-6908
Other practice location 1
3999 US-190
Covington, LA 70433
Phone (985) 871-0689
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393448 | Medicaid | AZ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477083707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14557 W INDIAN SCHOOL RD STE 500",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853959218",
"telephone_number": "623-242-6908",
"fax_number": "623-242-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071201",
"telephone_number": "623-242-6908",
"fax_number": "623-242-6909"
}
],
"practiceLocations": [
{
"address_1": "3999 US-190",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "70433",
"country_code": "US",
"telephone_number": "985-871-0689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRON-GRUNDITZ",
"first_name": "LINDSEY",
"middle_name": "KATHERINE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP11164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393448",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.