Active NPI
Vanessa M Athanas, MS CCC-SLP
- Speech-Language Pathologist
- Beverly, MA
National Provider Identifier
1033692918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 76901-SP-SL
- Practice address
- 100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136 - Phone
- (978) 712-0003
- NPI assigned
- Sep 7, 2018
- Last updated
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 76901-SP-SL | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136
Mailing address
30 Mason St Apt 2
Beverly, MA 01915-3112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76901-SP-SL | Other | MA | SPEECH LANGUAGE PATHOLOGY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76901-SP-SL | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1033692918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MASON ST APT 2",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019153112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 350G",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156136",
"telephone_number": "978-712-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHANAS",
"first_name": "VANESSA",
"middle_name": "M",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2025-06-09",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76901-SP-SL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY",
"identifier": "76901-SP-SL",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.