Individual provider Active NPI

Rosalie Isaacson Nabors, ED.D, SLP/CCC

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1821115361
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP429 Issued in MD
Practice address
6350 Red Cedar PL
Unit 202
Baltimore, MD 21209-5400
Phone
(443) 449-7755
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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 SLP429 MD Primary

Addresses

Primary practice location

6350 Red Cedar PL
Unit 202
Baltimore, MD 21209-5400

Mailing address

6350 Red Cedar PL
Unit 202
Baltimore, MD 21209-5400
Phone (443) 449-7755

Other identifiers 1

IdentifierTypeStateIssuer
S007OtherMDBLUE CROSS ANDBLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
SLP429MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1821115361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 RED CEDAR PL",
            "address_2": "UNIT 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212095400",
            "telephone_number": "443-449-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 RED CEDAR PL",
            "address_2": "UNIT 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212095400",
            "telephone_number": "443-449-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "ROSALIE",
        "middle_name": "ISAACSON",
        "name_prefix": "Dr.",
        "credential": "ED.D, SLP/CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "SLP429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANDBLUE SHIELD",
            "identifier": "S007",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.