Individual provider Active NPI

Kasey Grant

  • Speech-Language Pathologist
  • South Hadley, MA
National Provider Identifier
1629511480
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
78238-SP-SL Issued in MA
Practice address
30 Old Lyman Rd
South Hadley, MA 01075-2630
Phone
(413) 533-7140
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Speech-Language Pathologist 235Z00000X 78238-SP-SL MA Primary

Addresses

Primary practice location

30 Old Lyman Rd
South Hadley, MA 01075-2630

Mailing address

450 Pelham Hill Rd
Amherst, MA 01002-9613

Other practice location 1

258 Old Lyman Rd
South Hadley, MA 01075-2653
Phone (413) 532-3280

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
78238-SP-SLMAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1629511480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PELHAM HILL RD",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010029613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OLD LYMAN RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752630",
            "telephone_number": "413-533-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Old Lyman Rd",
            "address_purpose": "LOCATION",
            "city": "South Hadley",
            "state": "MA",
            "postal_code": "010752653",
            "country_code": "US",
            "telephone_number": "413-532-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78238-SP-SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.