Active NPI
Emily Lou Isom, M.S. CCC-SLP
- Speech-Language Pathologist
- North Yarmouth, ME
National Provider Identifier
1366776536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP441
- Practice address
- 198 W Pownal Rd
North Yarmouth, ME 04097-6819 - Phone
- (207) 829-9120
- NPI assigned
- Sep 22, 2009
- Last updated
- Sep 22, 2009
- 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 | SP441 | ME | Primary |
Addresses
Primary practice location
198 W Pownal Rd
North Yarmouth, ME 04097-6819
Mailing address
899 Riverside St
Portland, ME 04103-1070
Phone (207) 871-1200
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP441 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1366776536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 RIVERSIDE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031070",
"telephone_number": "207-871-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 W POWNAL RD",
"city": "NORTH YARMOUTH",
"state": "ME",
"postal_code": "040976819",
"telephone_number": "207-829-9120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISOM",
"first_name": "EMILY",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.