Kaitlin Graham, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025933 Issued in NY

Practice address

5415 N Bloomfield Rd
Canandaigua, NY 14424-7964

Phone

(585) 394-9510

Fax

(585) 394-5326

NPI assigned

Sep 16, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1083162291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N BLOOMFIELD RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247964",
            "telephone_number": "585-394-9510",
            "fax_number": "585-394-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 N BLOOMFIELD RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247964",
            "telephone_number": "585-394-9510",
            "fax_number": "585-394-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KAITLIN",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin P Gooley, SOCIAL WORKER
• Lisa Gordner, LCSW
• Frances Gouda, MHC
• Meredith Christine Grace, NP
• Kerry Widdersheim Graff, M.D.
• Jonathan Grasso, PSY. D.
• Clayton Baron Green, M.D.,PH.D.
• Mary Onnolee Green, RN
• David Arleigh Gregor, LMT
• Cherisse Suzanne Griffith-Burns, RPA-C

• Speech-Language Pathologist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.