Kathryn Elaine Gravell, CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

08396 Issued in MD

Practice address

101 N Edgewood Dr Apt 2
Hagerstown, MD 21740-6518

Phone

(678) 471-2817

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 8

Other names 1

• Kathy Gravell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568536928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N EDGEWOOD DR APT 2",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406518",
            "telephone_number": "678-471-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N EDGEWOOD DR APT 2",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406518",
            "telephone_number": "678-471-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVELL",
        "first_name": "KATHRYN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-4134",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP 0000004935",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9250",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005728",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE SLP LICENSE #",
            "identifier": "SLP005728",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044589267A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD SLP LICENSE #",
            "identifier": "08396",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568536928",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892578000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT SLP LINCENSE #",
            "identifier": "SLP-SP-LIC-4134",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE SLP LICENSE #",
            "identifier": "SA 9250",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE SLP LICENSE #",
            "identifier": "SP 0000004935",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "GRAVELL",
            "credential": "MA, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aimee Lynn Grahe, LAC
• Adam Grahn, DPM
• Brandy Hooper Grahn, D.P.M
• Amy Grantham, LICSW
• Patrick Joseph Graveline, PSY.D., BCBA-D
• Tiffani Sarah Graves
• Kelly Gray
• Kourtney Green Hadden, LCSW-C
• Melody Green, LCPC
• Jay B Greenberg, MD

• Speech-Language Pathologist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.