Adria McNair, MA/SLP/CCC/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3938-154 Issued in WI

Practice address

1703 60TH St
Kenosha, WI 53140-3986

Phone

(262) 658-4125

Fax

(262) 658-2196

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Great Therapy Group LLC

  dba Gr8 Speech Inc

  • Speech-Language Pathologist
  • Hollywood, FL
  • NPI 1568886471

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1902226012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ELIZABETH AVE",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403986",
            "telephone_number": "262-658-4125",
            "fax_number": "262-658-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAIR",
        "first_name": "ADRIA",
        "credential": "MA/SLP/CCC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3938-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra A McGrain, PROGRAM DIRECTOR
• Travis McGregor
• Mark T McGuire, DDS
• Erica Ann McKinney, D.C.
• Jennifer McMullen, DC
• Ashley McSorley, D.O.
• Mea-Aea Kenosha SC
• James P Mecham, MS, OTRIL
• Diane M Medina, R.N.
• Michaela Leigh Medrano

• Speech-Language Pathologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.