Individual provider Active NPI

Terry Grosvenor

  • Speech-Language Pathologist
  • Abilene, TX
National Provider Identifier
1588084024
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11125 Issued in TX
Practice address
765 Orange St
Abilene, TX 79601-5011
Phone
(325) 627-0908
Fax
(325) 670-4831
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11125 TX Primary

Addresses

Primary practice location

765 Orange St
Abilene, TX 79601-5011

Mailing address

2616 S Clack St
Abilene, TX 79606-1557
Phone (325) 690-5100

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

LicenseStateTypeSpecialty
11125TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Regional MHMR Center Past Accepting new patients
Abilene Regional MHMR Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1588084024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061557",
            "telephone_number": "325-690-5100",
            "fax_number": "325-671-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ORANGE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015011",
            "telephone_number": "325-627-0908",
            "fax_number": "325-670-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSVENOR",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.