Individual provider Active NPI

Grayce Angela Unrau, MA CCC SLP

  • Speech-Language Pathologist
  • Othello, WA
National Provider Identifier
1609433994
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60915515 Issued in WA
Practice address
1025 S 1St Ave
Othello, WA 99344-1845
Phone
(509) 488-2659
Fax
(509) 488-4893
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 LL60915515 WA Primary

Addresses

Primary practice location

1025 S 1St Ave
Othello, WA 99344-1845

Mailing address

758 S Solomons Landing LN
Othello, WA 99344-8951
Phone (095) 750-0768

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LL60915515WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1609433994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 S SOLOMONS LANDING LN",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993448951",
            "telephone_number": "095-750-0768",
            "fax_number": "509-488-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S 1ST AVE",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441845",
            "telephone_number": "509-488-2659",
            "fax_number": "509-488-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRAU",
        "first_name": "GRAYCE",
        "middle_name": "ANGELA",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60915515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Othello, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.