Active NPI
Emma Gray, CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1922837889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21902
- Practice address
- 829 W Dr Martin Luther King Jr Blvd Ste 254
Tampa, FL 33603-3309 - Phone
- (813) 586-0802
- Fax
- (813) 761-0755
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA21902 | FL | Primary |
Addresses
Primary practice location
829 W Dr Martin Luther King Jr Blvd Ste 254
Tampa, FL 33603-3309
Mailing address
829 W Dr Martin Luther King Jr Blvd Ste 254
Tampa, FL 33603-3309
Phone (813) 586-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1922837889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 W DR MARTIN LUTHER KING JR BLVD STE 254",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033309",
"telephone_number": "813-586-0802",
"fax_number": "813-761-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 W DR MARTIN LUTHER KING JR BLVD STE 254",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033309",
"telephone_number": "813-586-0802",
"fax_number": "813-761-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "EMMA",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.