Individual provider Active NPI

Grace Trainer

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1760167068
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7995 Issued in TN
Practice address
2329 Prosser Rd
Knoxville, TN 37914-3324
Phone
(912) 665-4673
Fax
(877) 829-0884
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7995 TN Primary

Addresses

Primary practice location

2329 Prosser Rd
Knoxville, TN 37914-3324

Mailing address

1320 Park Glen Rd
Knoxville, TN 37919-8258
Phone (912) 665-4673

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
7995TNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Speech, LLC Speech-Language Pathologist CurrentSince Jun 18, 2023 Accepting new patients

Locations

1207 N Broadway St
Knoxville, TN 37917
Phone (423) 782-7436

2329 Prosser Rd
Knoxville, TN 37914
Phone (912) 665-4673

Organizations & group practices 1

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1760167068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 PARK GLEN RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198258",
            "telephone_number": "912-665-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 PROSSER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379143324",
            "telephone_number": "912-665-4673",
            "fax_number": "877-829-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINER",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.