Individual provider Active NPI

Grisel Andrea Bandy

  • Speech-Language Pathologist
  • Shaker Heights, OH
National Provider Identifier
1740979699
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202012383 Issued in VA
Practice address
3570 Warrensville Center Rd
Shaker Heights, OH 44122-5288
Phone
(216) 402-9358
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 2202012383 VA Primary
Speech-Language Pathologist 235Z00000X SP.16186 OH

Addresses

Primary practice location

3570 Warrensville Center Rd
Shaker Heights, OH 44122-5288

Mailing address

3570 Warrensville Center Rd
Shaker Heights, OH 44122-5288
Phone (216) 402-9358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260402000091 VA Practitioner - Qualified Speech Language Pathologist 9436634904 Reassigns benefits to 1 organization
I20260410001980 OH Practitioner - Qualified Speech Language Pathologist 9436634904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.16186OHMDSpeech-Language Pathologist
2202012383VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
FM Speech Therapy LLC PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1740979699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 WARRENSVILLE CENTER RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225288",
            "telephone_number": "216-402-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 WARRENSVILLE CENTER RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225288",
            "telephone_number": "216-402-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "GRISEL ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012383",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.16186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.