Active NPI
Grace Elexandra Hanna, CF-SLP
- Speech-Language Pathologist
- Bryan, TX
National Provider Identifier
1497217897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 115096
- Practice address
- 801 S Ennis St
Bryan, TX 77803-4642 - Phone
- (979) 209-1000
- NPI assigned
- Apr 3, 2019
- 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 | 115096 | TX | Primary |
Addresses
Primary practice location
801 S Ennis St
Bryan, TX 77803-4642
Mailing address
14153 Running Deer TRL
Austin, TX 78734-3038
Phone (512) 466-4713
Other practice location 1
2100 E Martin Luther King Jr Blvd
Austin, TX 78702-1342
Phone (512) 900-7934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115096 | Medicaid | TX |
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 |
|---|---|---|---|
| 115096 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonrisas Therapies- Pediatric Home and Healthcare Services, LLC. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Austin, TX
- NPI 1285932319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1497217897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14153 RUNNING DEER TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787343038",
"telephone_number": "512-466-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S ENNIS ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778034642",
"telephone_number": "979-209-1000"
}
],
"practiceLocations": [
{
"address_1": "2100 E Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787021342",
"country_code": "US",
"telephone_number": "512-900-7934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "GRACE",
"middle_name": "ELEXANDRA",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "115096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115096",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.