Susan Christine Gruber, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL0002031 Issued in WA

Practice address

14920 Westminster Way N
#1A
Shoreline, WA 98133-6445

Phone

(206) 769-9330

Fax

(206) 306-9997

NPI assigned

Jan 11, 2007

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

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Wa, PC

  • Multi-Specialty Clinic/Center
  • Issaquah, WA
  • NPI 1821748112

  Speech-Language Pathologist

  Medicare reassignment NPD
• Blue Sky Pediatric Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Shoreline, WA
  • NPI 1306112040
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1790835965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14920 WESTMINSTER WAY N",
            "address_2": "#1A",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336445",
            "telephone_number": "206-769-9330",
            "fax_number": "206-306-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14920 WESTMINSTER WAY N",
            "address_2": "#1A",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336445",
            "telephone_number": "206-769-9330",
            "fax_number": "206-306-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL0002031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexsandra Maria Greer Phillips, MD
• Shelly Griner, CPHT
• Kristen Groenewold
• Ane Lykke Groth
• Jonathan Grout, LICSW
• Michelle Carlene Grunder, SUDPT
• Jean Gruver, M.D.
• Ellen Gryj-Rubenstein
• Antonio Gudino Jr., ATC/LAT
• Mary Joy F Gumiran

• Speech-Language Pathologist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.