Anna Michelle Havens Banner, STA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

0217267-01 Issued in TX

Practice address

5507 SW 9TH Avenue
Amarillo, TX 79106

Phone

(806) 468-7611

Fax

(806) 468-7603

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anna Banner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1063673374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 SW 9TH AVENUE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-468-7611",
            "fax_number": "806-468-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 SW 9TH AVENUE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-468-7611",
            "fax_number": "806-468-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS BANNER",
        "first_name": "ANNA",
        "middle_name": "MICHELLE",
        "credential": "STA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34253",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "0217267-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217267-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BANNER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacquelyn Hatley, LVN
• Alicia Hatter, REGISTERED NURSE
• Keelie Nicole Hauk, RDH
• Haven Health Clinics
• Haven Health Clinics
• Louise Goggins Havron
• Aaron Brent Hawkins, D.D.S.
• Angela Hawkins
• Heidi Sticksel Hawkins, OPTOMETRIST
• Laura R Hawkins

• Speech-Language Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.