Diane Marie Grinage, M.A., M.S. - CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005089 Issued in VA

Practice address

3750 Old Lee Highway
Fairfax, VA 22030

Phone

(703) 246-7194

NPI assigned

Apr 9, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1962645721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 BLACKPOOL DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034315",
            "telephone_number": "703-764-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 OLD LEE HIGHWAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-246-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINAGE",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "M.A., M.S. - CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Grimes, LCSW
• Jennifer Grimley
• Jenna Emily Grimm, LNP
• Samuel Oliver Grimm III, M.D.
• John Robert Grimsley
• Naomi Grinney, LCSW
• Meredith Kathleen Grisamore, M.ED. CCC-SLP
• Kristine Platt Griswold, MSW
• Shannon Grivas, LCSW
• Catherine A Groden, NP-C

• Speech-Language Pathologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.