Kelly Jeanne Grall, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

354857 Issued in CO

Practice address

5124 S Hatch Dr
Evergreen, CO 80439-7261

Phone

(541) 408-6728

NPI assigned

Feb 22, 2024

Last updated

Feb 22, 2024By 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

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1881450385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 EAGLE VIEW CT",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398714",
            "telephone_number": "541-408-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 S HATCH DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397261",
            "telephone_number": "541-408-6728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2856 Eagle View Ct",
            "address_purpose": "LOCATION",
            "city": "Evergreen",
            "state": "CO",
            "postal_code": "804398714",
            "country_code": "US",
            "telephone_number": "541-408-6728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRALL",
        "first_name": "KELLY",
        "middle_name": "JEANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "354857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L Gonzales, MD
• Maya Marie Gonzales, D.C.
• Julie M Gordon, PT
• Robert Scott Gordon, DMD
• Claire Gosnell
• Elizabeth A Gray, PH.D PSYCHOLOGY
• Beatrice Green
• Katey Greene, NTP
• Margaret Grondorf, LPCC
• Jane Antoinette Gross

• Speech-Language Pathologist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.