Active NPI
Corinne Grass, SLP
- Speech-Language Pathologist
- Williamsburg, VA
National Provider Identifier
1508322124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202011222
- Practice address
- 457 McLaws Cir
Williamsburg, VA 23185-5645 - Phone
- (757) 271-4447
- NPI assigned
- Feb 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114526 | TX | |
| Speech-Language Pathologist | 235Z00000X | 2202011222 | VA | Primary |
Addresses
Primary practice location
457 McLaws Cir
Williamsburg, VA 23185-5645
Mailing address
95 County Road 43200
Powderly, TX 75473-5125
Phone (314) 422-6462
Other practice location 1
95 County Road 43200
Powderly, TX 75473-5125
Phone (314) 422-6462
Other names 1
- Corinne McGownd
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 |
|---|---|---|---|
| 114526 | TX | MD | Social Worker |
| 2202011222 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Therapy Services, LLC | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1508322124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COUNTY ROAD 43200",
"city": "POWDERLY",
"state": "TX",
"postal_code": "754735125",
"telephone_number": "314-422-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 MCLAWS CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855645",
"telephone_number": "757-271-4447"
}
],
"practiceLocations": [
{
"address_1": "95 County Road 43200",
"address_purpose": "LOCATION",
"city": "Powderly",
"state": "TX",
"postal_code": "754735125",
"country_code": "US",
"telephone_number": "314-422-6462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASS",
"first_name": "CORINNE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114526",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORINNE",
"last_name": "MCGOWND",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.