Individual provider Active NPI

Anna Kucher, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1033420872
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16346 Issued in FL
Practice address
1400 S Ocean Dr Apt 1608
Hollywood, FL 33019
Phone
(754) 757-2757
NPI assigned
Jun 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12151531 NY
Speech-Language Pathologist 235Z00000X SA16346 FL Primary

Addresses

Primary practice location

1400 S Ocean Dr Apt 1608
Hollywood, FL 33019

Mailing address

1400 S Ocean Dr Apt 1608
Hollywood, FL 33019-2341
Phone (347) 593-2636

Other identifiers 1

IdentifierTypeStateIssuer
100654600MedicaidFL

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
SA16346FLMDSpeech-Language Pathologist
12151531NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Lingo CurrentSince Aug 28, 2022 Accepting new patients
Leading Kids Therapy Inc CurrentSince Apr 16, 2023 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": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1033420872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S OCEAN DR APT 1608",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192341",
            "telephone_number": "347-593-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S OCEAN DR APT 1608",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33019",
            "telephone_number": "754-757-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHER",
        "first_name": "ANNA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-26",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12151531",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100654600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.