Active NPI
Jennifer L. Grammer, SLP
- Speech-Language Pathologist
- Corinth, TX
National Provider Identifier
1811913155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14966
- Practice address
- 1301 Creekside Drive
Corinth, TX 76210-3065 - Phone
- (940) 369-4763
- Fax
- (940) 321-0502
- NPI assigned
- Jul 13, 2006
- Last updated
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14966 | TX | Primary |
Addresses
Primary practice location
1301 Creekside Drive
Corinth, TX 76210-3065
Mailing address
1901 Creekside Dr
Corinth, TX 76210-0099
Phone (940) 369-4763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1561177-01 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14966 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1811913155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 CREEKSIDE DR",
"city": "CORINTH",
"state": "TX",
"postal_code": "762100099",
"telephone_number": "940-369-4763",
"fax_number": "940-321-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CREEKSIDE DRIVE",
"city": "CORINTH",
"state": "TX",
"postal_code": "762103065",
"telephone_number": "940-369-4763",
"fax_number": "940-321-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMMER",
"first_name": "JENNIFER",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1561177-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.