Marcela Grajeda I, M.S. SLP-INTERN

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114679 Issued in TX

Practice address

444 Executive Center Blvd Ste 148
El Paso, TX 79902-1096

Phone

(915) 600-2796

Fax

(915) 533-0722

NPI assigned

Feb 20, 2019

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)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PT Home Services of San Antonio, Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1891131843
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1881151355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 DARLINA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 EXECUTIVE CENTER BLVD STE 148",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021096",
            "telephone_number": "915-600-2796",
            "fax_number": "915-533-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJEDA",
        "first_name": "MARCELA",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "M.S. SLP-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayleen Rose Graham
• Krystal-Anne Graham
• Thomas Graham
• Fernanda I Grajeda, PMHNP
• Hector Eduardo Grajeda
• Stacey S Grajeda, RPH
• Veronica Grajeda, FNP
• Daisy Granado
• Daniella Granados, LPC
• Hector Manuel Granados, MD

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.