Active NPI
Emily Grybas, SLP
- Speech-Language Pathologist
- Manistee, MI
National Provider Identifier
1477248086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7152000292
- Practice address
- 1345 E Parkdale Ave
Manistee, MI 49660-9318 - Phone
- (231) 398-1291
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 7152000292 | MI | Primary |
Addresses
Primary practice location
1345 E Parkdale Ave
Manistee, MI 49660-9318
Mailing address
77 Oak St Apt B
Manistee, MI 49660-1690
Phone (815) 531-2887
Other practice location 1
224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2359
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 |
|---|---|---|---|
| 7152000292 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1477248086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 OAK ST APT B",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496601690",
"telephone_number": "815-531-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 E PARKDALE AVE",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609318",
"telephone_number": "231-398-1291"
}
],
"practiceLocations": [
{
"address_1": "224 Park Ave",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "MI",
"postal_code": "496359658",
"country_code": "US",
"telephone_number": "231-352-2359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRYBAS",
"first_name": "EMILY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7152000292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.