Mikaela Coombs

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3480 Issued in ME

Practice address

358 Main St
Gorham, ME 04038-1314

Phone

(207) 356-9537

NPI assigned

Jul 22, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Maine Chatterbox, LLC

  • Early Intervention Provider Agency
  • Gorham, ME
  • NPI 1548794423
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1477126902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381314",
            "telephone_number": "207-356-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381314",
            "telephone_number": "207-356-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "MIKAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "themainechatterbox@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "358 Main St",
            "city": "Gorham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040381314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly L Clark, OT
• Andrew Coffin, BHP, DSP, CRMA
• Community Pharmacies LLC. (Community Pharmacy of Gorham)
• Community Pharmacies, LLC. (Community Pharmacy of Gorham (LTC))
• Nicole Rose Constantineau, DPT
• Deborah Ann Cooper
• Karalyn Ethel Corbett, LCSW
• Core Elements LLC
• Michelle L Cote-Brzoza, OD
• Courage Center LLC

• Speech-Language Pathologist in Gorham, ME
• Providers in Gorham, 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 Jul 22, 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.