Active NPI
Caryl Denise King Grant, CCC-SLP
- Speech-Language Pathologist
- Upper Marlboro, MD
National Provider Identifier
1982173175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07545
- Practice address
- 501 Watkins Park Dr
Upper Marlboro, MD 20774-8801 - Phone
- (301) 218-3040
- NPI assigned
- Nov 16, 2018
- 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 | 07545 | MD | Primary |
Addresses
Primary practice location
501 Watkins Park Dr
Upper Marlboro, MD 20774-8801
Mailing address
12713 Quarterhorse Dr
Bowie, MD 20720-4324
Phone (301) 805-4685
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 |
|---|---|---|---|
| 07545 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1982173175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12713 QUARTERHORSE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204324",
"telephone_number": "301-805-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WATKINS PARK DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748801",
"telephone_number": "301-218-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING GRANT",
"first_name": "CARYL",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.