Individual provider Active NPI

Ann Rita Smith, MS CCCSLP

  • Speech-Language Pathologist
  • Scarborough, ME
National Provider Identifier
1003952987
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1027 Issued in ME
Practice address
12 Overlook Drive
Scarborough, ME 04074-8201
Phone
(207) 939-6514
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 SP1027 ME Primary

Addresses

Primary practice location

12 Overlook Drive
Scarborough, ME 04074-8201

Mailing address

12 Overlook Dr
Scarborough, ME 04074-8201
Phone (207) 939-6514

Other practice location 1

146 State House Sta
Augusta, ME 04333-8201
Phone (207) 624-6660

Other identifiers 2

IdentifierTypeStateIssuer
037622OtherMEANTHEM BCBS
247870099MedicaidME

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP1027MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Hearing and Speech Center, Inc. Speech-Language Pathologist PastSince Jan 12, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1003952987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OVERLOOK DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748201",
            "telephone_number": "207-939-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OVERLOOK DRIVE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748201",
            "telephone_number": "207-939-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 State House Sta",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043338201",
            "country_code": "US",
            "telephone_number": "207-624-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANN",
        "middle_name": "RITA",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-12-14",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "037622",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247870099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.