Anna M Siciliano, M.A, C.C.C., S.L.P.
Individual provider Active NPI Speech-Language Pathologist · Salt Lake City, UT
NPI 1104947233 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1104947233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 342489-4102 (UT)
- Practice address
- 440 D St Ste 202
Salt Lake City, UT 84103-2827 - Phone
- (801) 408-4972
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
4401 Harrison Blvd
Suite 1855
Ogden, UT 84403-3195
Phone (801) 387-8330
4403 Harrison Blvd
Suite 2645
Ogden, UT 84403-3278
Phone (801) 387-5620
Hospital & facility affiliations
- LDS Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171012003033 | UT | Practitioner - Qualified Speech Language Pathologist | 7416222716 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4401 Harrison Blvd
Ste 1855
Ogden, UT 84403
Phone (801) 387-7678
4403 Harrison Blvd
Ste 2645
Ogden, UT 84403
Phone (801) 387-2880
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500
440 D St
Ste 202
Salt Lake Cty, UT 84103
Phone (801) 408-2508
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 342489-4102 | UT | Yes |
Addresses
Primary practice location
440 D St Ste 202
Salt Lake City, UT 84103-2827
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
8th Ave C St
Salt Lake City, UT 84143-0001
Phone (801) 408-5489
Other providers in Salt Lake City, UT
- Brent Keeler Shuster
- Virginia Shutt
- Kiera N. Sibbald
- Karli Alyn Sibley
- Rosa Sibrian
- McKenzie Marie Sicke
- Philip Jason Siddoway
- Sideline Sport Psychology PLLC
- Konstantinos Sideris
- Andrew C Sidoli
All providers in Salt Lake City, UT · Speech-Language Pathologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.