Brianna K Grondin, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA8256 Issued in AZ

Practice address

101 S Airpark Rd
Suite M
Cottonwood, AZ 86326-4182

Phone

(928) 639-2694

NPI assigned

Apr 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1588007199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LAREE AVE",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243238",
            "telephone_number": "928-821-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S AIRPARK RD",
            "address_2": "SUITE M",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264182",
            "telephone_number": "928-639-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDIN",
        "first_name": "BRIANNA",
        "middle_name": "K",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Gresens, DO
• Gary Douglas Gridley, M.D.
• Gwen Griffin, LISAC
• Howard Reginald Griffin III, DC
• Isabelle Maisse Griffith, PHARMD
• Theresa Lee Grothjan
• Paulette Walker Guinn, LPC
• Meghan Gula
• Mansha Gupta, M.D.
• Palak Gupta

• Speech-Language Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.