Anna Gavin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6409 City West Pkwy Ste 206
Eden Prairie, MN 55344-7846

Phone

(952) 230-8173

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Urban Speech & Occupational Therapy

  • Speech-Language Pathologist
  • Eden Prairie, MN
  • NPI 1689305740
  Medicare reassignment NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1083460125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 176TH ST W",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY STE 206",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447846",
            "telephone_number": "952-230-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kjersten Gammell
• Andrew Garbers, LMFT, LADC
• Madison Garnhardt
• Jeannette M Gasal Spilde, MD
• Paige C Gau
• Thomas Andrew Gebhard, M.D.
• Jacob Gebrael, MD
• VI Geeraerts
• Mohamed Aden Geire
• Cynthia Gellner, PHARM D

• Speech-Language Pathologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.