Individual provider Active NPI

Rachel Diane Isenberg, MACCC/SLP

  • Speech-Language Pathologist
  • Oneida, TN
National Provider Identifier
1508911082
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1655 Issued in TN
Practice address
589 N Main St
Oneida, TN 37841-2515
Phone
(423) 215-3029
Fax
(423) 286-3787
NPI assigned
Jan 24, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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 1655 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000957 TN Practitioner - Qualified Speech Language Pathologist 6103941794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1655TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Talk Speech Therapy, LLC Speech-Language Pathologist CurrentSince Mar 24, 2010 Accepting new patients

Locations

19238 Alberta St
Oneida, TN 37841
Phone (423) 215-3029

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1508911082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 N MAIN ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412515",
            "telephone_number": "423-215-3029",
            "fax_number": "423-286-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 N MAIN ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412515",
            "telephone_number": "423-215-3029",
            "fax_number": "423-286-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MACCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "1655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.