Julie Grimmett, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22118 Issued in CA

Practice address

7716 W Manchester Ave
Playa del Rey, CA 90293-8408

Phone

(310) 823-4694

NPI assigned

Aug 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1740412386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18976 N 92ND WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559254",
            "telephone_number": "480-720-3795",
            "fax_number": "480-419-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 W MANCHESTER AVE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938408",
            "telephone_number": "310-823-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18976 N 92nd Way",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852559254",
            "country_code": "US",
            "telephone_number": "480-720-3795",
            "fax_number": "480-419-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "JULIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1155",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Goodell, MPT
• Rush David Goodman, D.M.D.
• Lucinda Charnley Gray, PH.D.
• John Robert Green, L.C.S.W.
• Dixon Griffin
• Jerome Alan Guttman, D.D.S.
• Douglas Hales, LMFT
• Joshua Jay Hawkins, DPT
• Nidia Hernandez, LCSW, MSW, MPA
• Kim Higley, RD

• Speech-Language Pathologist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.