Active NPI
Shanna M Graham
- Speech-Language Pathologist
- Farwell, MI
National Provider Identifier
1588560890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101003075
- Practice address
- 457 E Ludington Dr Unit B
Farwell, MI 48622-8414 - Phone
- (989) 429-2362
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 7101003075 | MI | Primary |
Addresses
Primary practice location
457 E Ludington Dr Unit B
Farwell, MI 48622-8414
Mailing address
4041 E Mannsiding Rd
Clare, MI 48617-9753
Phone (989) 386-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1588560890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 E MANNSIDING RD",
"city": "CLARE",
"state": "MI",
"postal_code": "486179753",
"telephone_number": "989-386-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 E LUDINGTON DR UNIT B",
"city": "FARWELL",
"state": "MI",
"postal_code": "486228414",
"telephone_number": "989-429-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "SHANNA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101003075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farwell, MI
- Elite Home Health Care Plus
- Farwell Dental, PLLC (Farwell Family Dentistry)
- Farwell Internal Medicine PLLC
- Dan Faust
- Rebecca Gibbs
- Megan Marie Griswold, OTRL
- Gunden Afc
- Brittney Humphrey, B.S.; L.M.T.
- Kristen Hyatt, PA-C
- Isabella Citizens for Health Inc (Farwell Health Center of Isabella Citizens for Health Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.