Elisabeth Ann Graham, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003690 Issued in VA

Practice address

19465 Deerfield Ave Ste 201
Lansdowne, VA 20176-1703

Phone

(703) 858-7620

NPI assigned

Jan 30, 2007

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elisabeth Graham

  dba Speech Language Literacy Center

  • Speech-Language Pathologist
  • Purcellville, VA
  • NPI 1801492434
  NPD Authorized official
• Purcellville Speech Therapy

  • Speech-Language Pathologist
  • Purcellville, VA
  • NPI 1912569369
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1093852386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16846 CHESTNUT OVERLOOK DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201322875",
            "telephone_number": "703-864-5824",
            "fax_number": "703-864-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 201",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761703",
            "telephone_number": "703-858-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16846 Chestnut Overlook Dr",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201322875",
            "country_code": "US",
            "telephone_number": "703-864-5824",
            "fax_number": "703-864-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Dawn Gentille, LCSW
• Satinder S Gill, MD
• Givpour (Aram Counseling Services)
• Keenan Paige Glazar, MS, CCC-SLP
• Nidhi Govil, PA-C
• Ravneet Grewal, M.D.
• Brian Erik Guzman-Comas, DPT, ATC
• Sofia N Hanger, PA
• Healthy Minds Psychiatry Services
• Meredith Helser, PA-C

• Speech-Language Pathologist in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.