Rachel Diane Isenberg, MACCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Oneida, TN
NPI 1508911082 · NPPES record last updated Jan 29, 2015
Key facts
- NPI
- 1508911082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1655 (TN)
- Practice address
- 589 N Main St
Oneida, TN 37841-2515 - Phone
- (423) 215-3029
- Fax
- (423) 286-3787
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100920000957 | TN | Practitioner - Qualified Speech Language Pathologist | 6103941794 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1655 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let'S Talk Speech Therapy, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
19238 Alberta St
Oneida, TN 37841
Phone (423) 215-3029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1655 | TN | Yes |
Addresses
Primary practice location
589 N Main St
Oneida, TN 37841-2515
Mailing address
589 N Main St
Oneida, TN 37841-2515
Phone (423) 215-3029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730447 | Other | TN | OPTUMHEALTH |
| 1502185 | Medicaid | TN | |
| 4265417 | Other | TN | BLUE CROSS BLUE SHIELD |
Other providers in Oneida, TN
- Home Comfort Medical Equipment
- Homebiotics, Inc
- Dwayne A Hughett
- Rachel Hutson
- Infirm Care Dental Services, Inc.
- J. Gregory Roberts MD RVT
- Lisa Karen Jeffers
- Melenia Kalyn Jeffers
- Jellico Community Hospital Inc.
- Deborah C. Joerling
All providers in Oneida, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.