MRS. SUSANNAH GROVENOR SLP
NPI 1972217651
Speech-Language Pathologist in Jackson, MO

Q: What is Susannah Grovenor's NPI number?

The NPI number for Susannah Grovenor is 1972217651. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Susannah Grovenor's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Susannah Grovenor was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2023Accepts Medicare Assignment

2064B WALTON DR, JACKSON, MO 63755(573) 204-0429(573) 204-0471 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Susannah Grovenor Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSANNAH GROVENOR SLP (NPI 1972217651) is an individual speech-language pathologist provider in Jackson, Missouri, licensed in Missouri (2019015649) and active in the NPI registry since January 2023. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1972217651

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. SUSANNAH GROVENORCredential: SLP

Location Address2064B WALTON DRJackson, MO 63755-3701

Mailing Address2064b Walton DrJackson, MO 63755-3701 · (573) 204-0429 · Fax (573) 204-0471

Phone(573) 204-0429

Fax(573) 204-0471

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 9, 2023

NPPES CertifiedJanuary 8, 2023

✔ NPI 1972217651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MO · 2019015649

Definition

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.

2064B WALTON DR, Jackson, MO 63755

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Susannah Grovenor Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719478643

PECOS Enrollment IDI20251118003231

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYLER DAVID SCHUMACKER DPT

Physical Therapist

2064B WALTON DR
JACKSON, MO 63755

Cape Girardeau County (573) 204-0429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susannah Grovenor's NPI number?

The NPI number for Susannah Grovenor is 1972217651. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Susannah Grovenor located?

Susannah Grovenor practices at 2064B Walton Dr, Jackson, MO 63755. The listed phone number is (573) 204-0429.

What is Susannah Grovenor's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Susannah Grovenor enrolled in Medicare?

Yes. Susannah Grovenor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susannah Grovenor accept?

Health plans from Anthem Blue Cross and Blue Shield list Susannah Grovenor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susannah Grovenor was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.