Individual provider Active NPI

Grace Donohue, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1760260558
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003231 Issued in NC
Practice address
211 E Six Forks Rd Ste 107
Raleigh, NC 27609-7743
Phone
(919) 619-2355
NPI assigned
Sep 21, 2023
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 120097 TX
Speech-Language Pathologist 235Z00000X 30003231 NC Primary

Addresses

Primary practice location

211 E Six Forks Rd Ste 107
Raleigh, NC 27609-7743

Mailing address

9400 N Central Expy Ste 306
Dallas, TX 75231-5039

Other identifiers 3

IdentifierTypeStateIssuer
120097OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION
30003231OtherNCNORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS
120085901MedicaidTX

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30003231NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Independent School District CurrentSince Jun 16, 2024 Accepting new patients

Locations

9400 N Central Expy
Ste 306
Dallas, TX 75231
Phone (972) 581-4793

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1760260558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 N CENTRAL EXPY STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315039",
            "fax_number": "972-581-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097743",
            "telephone_number": "919-619-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "GRACE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120097",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "120097",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS",
            "identifier": "30003231",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120085901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.