Maya Isaac

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3776 Patuxent River Rd
Davidsonville, MD 21035-2419

Phone

(443) 808-1218

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1962000885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 PATUXENT RIVER RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210352419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 PATUXENT RIVER RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210352419",
            "telephone_number": "443-808-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "MAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela P Fahr, MN, C-FNP
• Carol Macneal Gillies, PA-C
• Robert G. Graw Jr., M.D.
• Jennie Hager, RDH
• Valory T. Hill, M.D.
• Andrea Kassel, CPNP
• Kaitlyn Nicole Kelly
• Kristie Joyce Kovacs, FNP
• Kelli Kunert, LCSW-C
• Julia Kustusch

• Speech-Language Pathologist in Davidsonville, MD
• Providers in Davidsonville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.