Individual provider Active NPI

Yuliya Mira Raboi, MS

  • Speech-Language Pathologist
  • Reisterstown, MD
National Provider Identifier
1255638433
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04753 Issued in MD
Practice address
306 Church Rd
Reisterstown, MD 21136-6210
Phone
(443) 845-3292
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 04753 MD Primary

Addresses

Primary practice location

306 Church Rd
Reisterstown, MD 21136-6210

Mailing address

306 Church Rd
Reisterstown, MD 21136-6210

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Reisterstown Direct
CONNECT URL Reisterstown Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1255638433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CHURCH RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CHURCH RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366210",
            "telephone_number": "443-845-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOI",
        "first_name": "YULIYA",
        "middle_name": "MIRA",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Reisterstown",
            "affiliation": "N",
            "endpointDescription": "not sure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "306 Church Rd",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211366210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Reisterstown",
            "affiliation": "N",
            "endpointDescription": "office computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "306 Church Rd",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211366210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.