Carla Tellor Grundy
NPI 1972843456ActiveIndividual· Speech-Language Pathologist· Saint Louis, MO
Speech-Language Pathologist in Saint Louis, Missouri, licensed in NC, FL, CA and IN and other states, with an NPI issued in February 2013. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1972843456 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2013 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 30005117 | NC |
| Speech-Language Pathologist | 235Z00000X | SA21055 | FL |
| Speech-Language Pathologist | 235Z00000X | 30892 | CA |
| Speech-Language Pathologist | 235Z00000X | 22008391A | IN |
| Speech-Language Pathologist | 235Z00000X | SP4430 | ME |
| Speech-Language Pathologist | 235Z00000X | 2008022570 | MO |
| Speech-Language Pathologist | 235Z00000X | 146004652 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CA); Practitioner - Qualified Speech Language Pathologist (FL); Practitioner - Qualified Speech Language Pathologist (IL); Practitioner - Qualified Speech Language Pathologist (IN); Practitioner - Qualified Speech Language Pathologist (ME); Practitioner - Qualified Speech Language Pathologist (MI); Practitioner - Qualified Speech Language Pathologist (MO); Practitioner - Qualified Speech Language Pathologist (NC) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
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All 1,119 speech-language pathologists in Saint Louis · All speech-language pathologists in Missouri