Great Basin Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GREAT BASIN SPEECH THERAPY LLC

Practice address

100 Silverstone PL
Reno, NV 89512-1326

Phone

(775) 453-0217

Fax

(775) 800-5956

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Azra Hussain, SLPNPI 1386051175

Title

Owner/SLP

Phone

(530) 448-2135

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Azra Hussain

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1386051175
  Authorized official Same address or phone

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1477103398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SILVERSTONE PL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121326",
            "telephone_number": "775-453-0217",
            "fax_number": "775-800-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SILVERSTONE PL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121326",
            "telephone_number": "775-453-0217",
            "fax_number": "775-800-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BASIN SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "AZRA",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "530-448-2135",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386051175",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina M Grayson, PA-C, MPH
• Crystal Grayson, LCSW
• Kristen Nicole Grayson, RDH
• Amanda Greager, OTD
• Great Basin Counseling Services, Inc.
• Great Basin Therapy and Resources
• Carmen Greaves
• Rhonda Louise Green-Fiorillo, M.P.T.
• Amanda Green
• Clara Dornisha Green, APRN

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.