Individual provider Active NPI

Suzan Grabow, CCC-A

  • Audiologist
  • Waco, TX
National Provider Identifier
1770809675
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80281 Issued in TX
Practice address
601 W Highway 6
Suite 106
Waco, TX 76710-5591
Phone
(254) 776-7744
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80281 TX Primary

Addresses

Primary practice location

601 W Highway 6
Suite 106
Waco, TX 76710-5591

Mailing address

601 W Highway 6
Suite 106
Waco, TX 76710-5591
Phone (254) 776-7744

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
80281TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D Thrasher III MD PA PastSince May 1, 2018 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Organizations & group practices 2

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1770809675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 106",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105591",
            "telephone_number": "254-776-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 106",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105591",
            "telephone_number": "254-776-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOW",
        "first_name": "SUZAN",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.