Wende B. Grant, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1677 Issued in FL

Practice address

4205 Leaping Deer LN
Saint Johns, FL 32259-4293

Phone

(904) 657-6864

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1861727778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LEAPING DEER LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594293",
            "telephone_number": "904-657-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 LEAPING DEER LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594293",
            "telephone_number": "904-657-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "WENDE",
        "middle_name": "B.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda (Amy) Gibbes, PT
• GNM MD, LLC
• Diana Gorelik, APRN
• Dustin Gorgi, DC
• Stephanie Q. Grant, M.A., CCC-SLP
• Stephanie Grebe, LMHC
• Lynda Leffler Gridley, M.S., CCC-SLP
• Griffith Speech and Language LLC
• Kristina Marie Griffith, MA
• Robert Lee Grigsby III, M.D.

• Audiologist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.