Active NPI
Makayla Anderson, M.S CF-SLP
- Speech-Language Pathologist
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14120
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14120 | NC | MD | Occupational Therapy Assistant |
| 33213 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Coastal Speech Therapy Inc | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1750782462
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
CA, NC
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
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.