Kelli Lynn Granillo, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-1063 Issued in NV

Practice address

3041 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-3948

Phone

(702) 235-3354

Fax

(702) 920-8062

NPI assigned

Mar 7, 2008

Sex

Female

Sole proprietor

No

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 Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granillo Speech Pathology, PLLC

  dba Speech Patherapy

  • Speech-Language Pathologist
  • Henderson, NV
  • NPI 1023288982
  NPD (past) Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1982874798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 COYOTE CAVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133294",
            "telephone_number": "702-235-3354",
            "fax_number": "702-920-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523948",
            "telephone_number": "702-235-3354",
            "fax_number": "702-920-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANILLO",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Granados-Schrader
• Yennifer Granados
• Dennis Grandez Zavala
• Jordan M Grange
• Granillo Speech Pathology, PLLC (Speech Patherapy)
• Andrew Grant
• Antwanette Grant, QBA
• Brenton John Grant, MPT BHSC
• Christina Epiphany Grant, RBT
• Claudette Grant

• Speech-Language Pathologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.