Anna E Poling, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11153 Issued in OH

Practice address

1211 W Lima St Ste a
Kenton, OH 43326-8846

Phone

(419) 674-2288

Fax

(419) 675-3309

NPI assigned

Feb 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Hardin County Educational Service Center

  • Local Education Agency (LEA)
  • Kenton, OH
  • NPI 1790810281
  NPD (past)

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1073905212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 COUNTY ROAD 75",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458109756",
            "telephone_number": "419-634-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LIMA ST STE A",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433268846",
            "telephone_number": "419-674-2288",
            "fax_number": "419-675-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "ANNA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP11153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay E Pfeiffer, MD
• Kathie J Phillips, LMT; CNMT
• Maria Jo Pierce, CNA
• Tiffany R Pifer, OTA/L
• Danita M Podach, PAC
• Megan Marie Pritchard-Snyder, O.D.
• Emily Marie Rasey, COTA/L
• Aimee Lynn Rawls
• Rebecca Reed
• Penny Jo Reynolds, CASE MANAGER II

• Speech-Language Pathologist in Kenton, OH
• Providers in Kenton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.