Elizabeth Northington Kalil, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1194 Issued in ME

Practice address

19 Eastlawn Rd
Portland, ME 04103-1912

Phone

(207) 650-0264

NPI assigned

Jan 29, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1255477139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EASTLAWN RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031912",
            "telephone_number": "207-650-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EASTLAWN RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031912",
            "telephone_number": "207-650-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Child Development Services 146 State House Station",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043334799",
            "country_code": "US",
            "telephone_number": "207-624-6660",
            "fax_number": "207-624-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIL",
        "first_name": "ELIZABETH",
        "middle_name": "NORTHINGTON",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316060099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "027862",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Kakos, CRNA
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• Shawn R Kalback, PHD
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• Anna Kaletina, PA-C
• Dawn D Kallio, MD
• Josephine Kamagaju
• Julie Kambali, RN
• Robert J Kamman, PH.D.
• Ravi M Kamra, MD

• Speech-Language Pathologist in Portland, ME
• Providers in Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.