Active NPI
Venessa Grandjean, SLP.D./CCC-SLP
- Speech-Language Pathologist
- Cypress, TX
National Provider Identifier
1972010619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17360
- Practice address
- 14610 Kelsey Vista Dr
Cypress, TX 77433-6824 - Phone
- (281) 460-4412
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 17360 | TX | Primary |
Addresses
Primary practice location
14610 Kelsey Vista Dr
Cypress, TX 77433-6824
Mailing address
14610 Kelsey Vista Dr
Cypress, TX 77433-6824
Phone (281) 460-4412
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17360 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1972010619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14610 KELSEY VISTA DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336824",
"telephone_number": "281-460-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14610 KELSEY VISTA DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336824",
"telephone_number": "281-460-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDJEAN",
"first_name": "VENESSA",
"name_prefix": "Dr.",
"credential": "SLP.D./CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "17360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.