Lynnette L Granger, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 5676 Issued in FL

Practice address

840 E Oakland Park Blvd
Suite 115
Oakland Park, FL 33334-2767

Phone

(954) 565-4437

Fax

(954) 565-4476

NPI assigned

Mar 9, 2007

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

Credentials

Master of Science

State licenses

Practice roles

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

• Eastside Speech and Pathology

  • Speech-Language Pathologist
  • Oakland Park, FL
  • NPI 1598891483
  NPD (past) Authorized official
• Speech Works Pediatric Therapy, LLC

  • Clinic/Center
  • Palm Coast, FL
  • NPI 1245488121

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720110646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E OAKLAND PARK BLVD",
            "address_2": "SUITE 115",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342767",
            "telephone_number": "954-565-4437",
            "fax_number": "954-565-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E OAKLAND PARK BLVD",
            "address_2": "SUITE 115",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342767",
            "telephone_number": "954-565-4437",
            "fax_number": "954-565-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "LYNNETTE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavir Gosine, ARNP
• Jessica Gousse
• Grace for All LLC
• Grace Medical Clinic
• Grace Medical Clinic, LLC
• Gravity 21 Fort Lauderdale, LLC
• Darlene Gray, CCC-SLP
• Jhonnarri Gray
• William H Grayson, MCAP, CIP, CAI
• Charlene Marie Grecsek, EDD, LMHC

• Speech-Language Pathologist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.