Grace Olivia Hendricks

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA14319 Issued in AZ

Practice address

2720 S Constellation Way
Gilbert, AZ 85295-1919

Phone

(480) 748-8167

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By the provider in NPPES

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)

Not enrolled

State licenses

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.

• Speakology, LLC

  • Speech-Language Pathologist
  • Gilbert, AZ
  • NPI 1922580414
  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1881377885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S FARMER AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810254",
            "telephone_number": "952-451-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S CONSTELLATION WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951919",
            "telephone_number": "480-748-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "GRACE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Ashley Helgeson, PA-C
• Jordan Helms
• Help to Heal Counseling Services PLLC
• Saira Punjwani Hemani, PA-C
• Cassandra Lynn Henderson, PA-C
• Hendrickson Hearing LLC
• Dylan Hendrickson, HADE
• Trude Hendrickson, LCSW
• Wade Lars Hendrickson, BC-HIS
• Alyssa Hendrieth

• Speech-Language Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.