Jessica Graham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113505 Issued in TX

Practice address

7100 Trail Lake Dr
Fort Worth, TX 76123-1969

Phone

(817) 263-2224

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831540574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 GRAHAM RANCH RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761821530",
            "telephone_number": "937-245-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-263-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 W 75th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "662042218",
            "country_code": "US",
            "telephone_number": "888-913-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016020576",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dea L Graham, L.P.C.
• Deborah V Graham, LCPO
• Jack M Graham, M.D.
• Janice Graham
• Jason Graham
• Kay Norma Graham, RD,LD
• Misty Gail Graham, WHNP
• Murphy Montgomery Graham, FNP
• Patricia L Graham, PA
• Richard Graham, RNFA

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.