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Abigale Grimm , MCD, CCC-SLP

Speech-Language Pathologist β€’ Johnson City, TN

Active NPI 1013516004 Individual Practitioner Female Practitioner
Practice location in NPPES

2214 E Fairview Ave
Johnson City, TN 376012860

Call 4239286464 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2214 E Fairview Ave

Johnson City, TN 376012860

Telephone 4239286464
Organization at the Same NPPES Address or Phone
Mini Miracles Pediatric Therapy, Pllc Facility NPI 1477991560

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Horn Lake, MS; Olive Branch, MS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Johnson City and Tennessee

94 active clinicians are listed under Speech-Language Pathologist with a practice address in Johnson City, TN (3,731 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Johnson City

0% of these 94 clinicians have the CMS telehealth indicator.

1.1% of these 94 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TN 8594

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S-4658

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Secondary Practice Locations

1751 Dancy Blvd

Horn Lake, MS 386371916

Phone: 9012925313

7579 Wisteria Dr

Olive Branch, MS 386546982

Phone: 6157177471

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location May 10, 2024

Registered at 2214 E FAIRVIEW AVE, JOHNSON CITY, TN 376012860 (Tel: 4239286464)

πŸ“
Updated Business Mailing Address May 10, 2024

Registered at 1106 APPLETREE CT, JOHNSON CITY, TN 376153072 (Tel: 9013266289)

πŸ‘€
Provider Name / Credentials Updated May 10, 2024

Recorded as ABIGALE GRIMM, MCD, CCC-SLP

πŸ“
Updated Practice Location June 13, 2022

Registered at 1751 DANCY BLVD, HORN LAKE, MS 386371916 (Tel: 9012925313)

πŸ“
Updated Business Mailing Address June 13, 2022

Registered at 11315 MCCORMICK RD, ARLINGTON, TN 380029512 (Tel: 9012925313)

πŸ‘€
Provider Name / Credentials Updated June 13, 2022

Recorded as ABIGALE CRUMP, MCD, CCC-SLP

βœ…
NPI Profile Active October 20, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 20, 2020

Registered at 7579 WISTERIA DR, OLIVE BRANCH, MS 386546982 (Tel: 6157177471)

πŸ“
Business Mailing Address (Initial Record) October 20, 2020

Registered at 7579 WISTERIA DR, OLIVE BRANCH, MS 386546982 (Tel: 6157177471)

πŸ‘€
Provider Name / Credentials (Initial Record) October 20, 2020

Recorded as ABIGALE CRUMP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Speech-Language Pathologist (license number reported to NPPES: MS S-4658)

🟒
Initial NPI Registration & Enumeration October 20, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013516004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2020
Last Update: May 10, 2024
Sole Proprietor: No

Mailing Address

1106 Appletree Ct

Johnson City, TN 376153072

Phone: 9013266289

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.