JESSICA GRAHAM (NPI# 1831540574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831540574 |
| Entity Type | Individual |
| Full Name | JESSICA GRAHAM |
| Practice Address |
7100 Trail Lake Dr Fort Worth TX 76123-1969 |
| Mailing Address |
6909 Graham Ranch Rd North Richland Hills TX 76182-1530 |
| Practice Telephone | 8172632224 |
| Mailing Telephone | (937) 245-1704 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 113505 | TX | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2016020576 | MO | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10000 W 75th St Ste 250, Merriam, KS 662042218 | 8889131910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1215494984 | Jessica Paige Graham | Occupational Therapist | 8202 Elberta Dr, Ellicott City, MD 21043-6658 | 2019-02-28 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1174064836 | Jessica Graham | Specialist/Technologist | 8071 Windy Sea Cir, Huntington Beach, CA 92647-6335 | 2017-03-14 |
| 1588671143 | Jessica Ann Graham | Chiropractor | 1002 S Dakota St, Suite 101, Milbank, SD 57252-2700 | 2006-08-03 |
| 1922612498 | Jessica Ann Graham | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-09-02 |
| 1457992232 | Jessica Erin Graham | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110-1081 | 2019-10-03 |
| 1902371412 | Jessica Kay Graham | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-10-11 |
| 1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
| Street Address |
7100 TRAIL LAKE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76123-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073165056 | Emily Penrose | Occupational Therapy Assistant | 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2019-07-10 |
| 1588103238 | Eastland Memorial Hospital District | Skilled Nursing Facility | 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
| 1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
| 1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
| 1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| Find all providers in zip 76123 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1174134696 | Meagan Reyneveld | Speech-Language Pathologist | 405 Crawford St Apt 2330, Fort Worth, TX 76104-1395 | 2020-08-10 |
| 1639794902 | Sarah Mayorga | Speech-Language Pathologist | 3645 Gray St Apt 1209, Fort Worth, TX 76177-1721 | 2020-06-12 |
| 1417579558 | Fort Worth Children's Speech and Feeding Therapy, Pllc | Speech-Language Pathologist | 3631 S Hills Ave, Fort Worth, TX 76109-2754 | 2020-05-12 |
| 1518588201 | Korynn Apodaca | Speech-Language Pathologist | 704 Dale Ln Apt 124, Fort Worth, TX 76108-2659 | 2020-05-04 |
| 1487288544 | Robert J Wincowski | Speech-Language Pathologist | 6913 Camp Bowie Blvd Ste 121, Fort Worth, TX 76116-7164 | 2020-02-27 |
| 1154952687 | Shelby Reed | Speech-Language Pathologist | 411 Harrold St Apt 1273, Fort Worth, TX 76107-3141 | 2020-02-03 |
| 1114562857 | Hilary Byatt | Speech-Language Pathologist | 10357 Alta Vista Rd Unit 351, Fort Worth, TX 76244-6559 | 2019-11-15 |
| 1104468156 | Marianne Brawner | Speech-Language Pathologist | 4216 Sarita Dr, Fort Worth, TX 76109-4746 | 2019-10-10 |
| 1801444005 | Kristin Kirkley | Speech-Language Pathologist | 1604 Dakar Rd W, Fort Worth, TX 76116-1818 | 2019-08-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76123 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.