Amanda Rose Grimaud

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8042898-4104 Issued in UT

Practice address

1492 W Antelope Dr. Suite 100
Layton, UT 84041

Phone

(801) 825-8091

Fax

(801) 825-8142

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1770864993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR STE 100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411151",
            "telephone_number": "801-825-8091",
            "fax_number": "801-825-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR. SUITE 100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-825-8091",
            "fax_number": "801-825-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMAUD",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "8042898-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Greer
• Konner Greer
• Timothy Charles Griffiths
• Aleaha Carin Griggs
• Catherine Grigsby
• Lauren Groathouse
• Katherine Rose Gudim, M.S., CCC-SLP
• Monica P Gudmunson
• Guiding Light Clinical Services LLC
• Alexia Guidry

• Speech-Language Pathologist in Layton, UT
• Providers in Layton, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.