Individual provider Active NPI

Maria Eugenia Grigioni, SLP

  • Speech-Language Pathologist
  • Pinecrest, FL
National Provider Identifier
1679892046
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10404 Issued in FL
Practice address
12500 SW 72ND Ave
Pinecrest, FL 33156-5315
Phone
(305) 613-9623
NPI assigned
May 25, 2010
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019484-01 NY
Speech-Language Pathologist 235Z00000X SA10404 FL Primary

Addresses

Primary practice location

12500 SW 72ND Ave
Pinecrest, FL 33156-5315

Mailing address

12500 SW 72ND Ave
Pinecrest, FL 33156-5315
Phone (305) 613-9623

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
SA10404FLMDSpeech-Language Pathologist
019484-01NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1679892046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SW 72ND AVE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565315",
            "telephone_number": "305-613-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 SW 72ND AVE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565315",
            "telephone_number": "305-613-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGIONI",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019484-01",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.