Active NPI
Holly Williams Grady, AU.D.
- Audiologist
- Orlando, FL
National Provider Identifier
1508974247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY996
- Practice address
- 5830 Lake Underhill Rd
Orlando, FL 32807-4311 - Phone
- (407) 658-0228
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY996 | FL | Primary |
Addresses
Primary practice location
5830 Lake Underhill Rd
Orlando, FL 32807-4311
Mailing address
5830 Lake Underhill Rd
Orlando, FL 32807-4311
Phone (407) 658-0228
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY996 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1508974247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074311",
"telephone_number": "407-658-0228",
"fax_number": "407-282-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074311",
"telephone_number": "407-658-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "HOLLY",
"middle_name": "WILLIAMS",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.