Jennifer Leigh Gross, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2151 Issued in KY

Practice address

543 General Cruft Dr
Richmond, KY 40475-7520

Phone

(859) 582-3659

NPI assigned

Mar 4, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• 21C Speech- Language Telepractice

  • Speech-Language Pathologist
  • Richmond, KY
  • NPI 1477908390
  NPD (past) Authorized official

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1730549635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 GENERAL CRUFT DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757520",
            "telephone_number": "859-582-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 GENERAL CRUFT DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757520",
            "telephone_number": "859-582-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Leigh Gregg, APRN-BC
• Erica Louise Gregonis, MD
• Linda Fairchild Gregory, MA, CCC/SLP
• Robert Grigsby, DO
• William M. Grise, PHARM D
• Kendra Renee Gross, M.ED, LPCC
• Groundwork Rehabilitation Outreach
• Destiny Grove
• Growing Voices Therapies, LLC
• Growth Within Acceptance Counseling and Consulting PLLC

• Speech-Language Pathologist in Richmond, KY
• Providers in Richmond, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.