Stephanie Grauke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30003288 Issued in NC

Practice address

4811 Hardware Dr NE
Albuquerque, NM 87109-2017

Phone

(505) 268-5933

Fax

(505) 268-0184

NPI assigned

May 22, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1992117147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 KLONDIKE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115931",
            "telephone_number": "505-463-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 HARDWARE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092017",
            "telephone_number": "505-268-5933",
            "fax_number": "505-268-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUKE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115172",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Grassel, PHARMD
• Courtney Grassham
• Johanna Marie Grassham, RN, CDE, BC-ADM, CNP
• Bonnie Graston
• Nancy Aeren Grau, PH.D.
• Bradley R Graustein, MD
• Jaren P Gravagne, CNP, RNFA
• Fallon Laws Gravely, RN, CNP
• Karina Elizabeth Graves
• Steven Nicholas Graves, MD

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.