Lisa Rachel Grossman, ED.D, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5302 Issued in FL

Practice address

6810 North State Road 7
Coconut Creek, FL 33073

Phone

(954) 617-8138

Fax

(954) 905-4382

NPI assigned

Aug 30, 2006

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

Other identifiers 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1780793950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 NW 107TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764766",
            "telephone_number": "954-257-6043",
            "fax_number": "954-905-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 NORTH STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-617-8138",
            "fax_number": "954-905-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "LISA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "ED.D, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884991900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Heather Gray
• Greater Florida Anesthesiologists, LLC
• Tatiana Grekhava
• Kathleen Patrica Grenier, LCSW
• Steven Gross
• Ailyn Guerra
• Kristina Guerriero, DC
• Guidewell Sanitas I, LLC
• Diana Elizabeth Guinazu, M.D.
• Hina T Gupta, M.D.

• Speech-Language Pathologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.