Active NPI
Teresa Kay Graham, PHD
- Speech-Language Pathologist
- Bel Aire, KS
National Provider Identifier
1275345134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 562
- Practice address
- 4905 N Indian Oak St
Bel Aire, KS 67226-7664 - Phone
- (316) 680-3582
- NPI assigned
- Jan 27, 2025
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 562 | KS | Primary |
Addresses
Primary practice location
4905 N Indian Oak St
Bel Aire, KS 67226-7664
Mailing address
4905 N Indian Oak St
Bel Aire, KS 67226-7664
Phone (316) 680-3582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562 | Other | KS | KANSAS DEPARTMENT OF HEALTH OCCUPATIONS CREDENTIALING NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1275345134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 N INDIAN OAK ST",
"city": "BEL AIRE",
"state": "KS",
"postal_code": "672267664",
"telephone_number": "316-680-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 N INDIAN OAK ST",
"city": "BEL AIRE",
"state": "KS",
"postal_code": "672267664",
"telephone_number": "316-680-3582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TERESA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS DEPARTMENT OF HEALTH OCCUPATIONS CREDENTIALING NUMBER",
"identifier": "562",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Aire, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.