Individual provider Active NPI

Makayla Anderson, M.S CF-SLP

  • Speech-Language Pathologist
  • North Hollywood, CA
National Provider Identifier
1093368953
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14120 Issued in NC
Practice address
5953 Laurel Canyon Blvd Ste C
North Hollywood, CA 91607-1237
Phone
(818) 206-8158
NPI assigned
Jul 19, 2019
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 14120 NC Primary

Addresses

Primary practice location

5953 Laurel Canyon Blvd Ste C
North Hollywood, CA 91607-1237

Mailing address

17216 Saticoy St # 141
Van Nuys, CA 91406-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200924000052 NC Practitioner - Qualified Speech Language Pathologist 1658790738 Reassigns benefits to 2 organizations
I20240322001074 CA Practitioner - Qualified Speech Language Pathologist 1658790738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of North Carolina at Chapel Hill School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Speech Therapy IncGroup PAC ID 5092024323, 7 clinicians

Practice addresses (Care Compare)

1638 Military Cutoff Rd
Suite 100
Wilmington, NC 28403-5751
Phone (888) 258-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14120NCMDOccupational Therapy Assistant
33213CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 29, 2024 Accepting new patients
Coastal Speech Therapy Inc Speech-Language Pathologist CurrentSince Aug 1, 2024 Accepting new patients
Coastal Speech and Reading Center Speech-Language Pathologist Past Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

124 E Park Dr
Beulaville, NC 28518
Phone (888) 258-6905

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

1638 Military Cutoff Rd
Ste 100
Wilmington, NC 28403
Phone (888) 258-6905

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1093368953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17216 SATICOY ST # 141",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD STE C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071237",
            "telephone_number": "818-206-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MAKAYLA",
        "credential": "M.S CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.