Individual provider Active NPI

Anne Eiseman

  • Speech-Language Pathologist
  • Durham, NH
National Provider Identifier
1043847478
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0488 Issued in NH
Practice address
37 Ffrost Dr
Durham, NH 03824-3107
Phone
(603) 502-3781
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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 0488 NH Primary

Addresses

Primary practice location

37 Ffrost Dr
Durham, NH 03824-3107

Mailing address

37 Ffrost Dr
Durham, NH 03824-3107
Phone (603) 502-3781

Other identifiers 1

IdentifierTypeStateIssuer
0488OtherNHLICENSE

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
0488NHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1043847478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FFROST DR",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243107",
            "telephone_number": "603-502-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FFROST DR",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243107",
            "telephone_number": "603-502-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEMAN",
        "first_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0488",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

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