Individual provider Active NPI

Anna Crudup

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1023599115
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6692 Issued in SC
Practice address
119 Callibluff Dr
Summerville, SC 29486-0411
Phone
(843) 834-4502
Fax
(888) 797-2778
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 6692 SC Primary

Addresses

Primary practice location

119 Callibluff Dr
Summerville, SC 29486-0411

Mailing address

119 Callibluff Dr
Summerville, SC 29486-0411
Phone (843) 834-4502

Other names 1

  • Anna Crowder Former name

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
6692SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper River Pediatric Therapy LLC Speech-Language Pathologist CurrentSince Feb 26, 2023 Accepting new patients
Tri-County Therapy, LLC Speech-Language Pathologist PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023599115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CALLIBLUFF DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294860411",
            "telephone_number": "843-834-4502",
            "fax_number": "888-797-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CALLIBLUFF DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294860411",
            "telephone_number": "843-834-4502",
            "fax_number": "888-797-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUDUP",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CROWDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.