Individual provider Active NPI

Anna M Siciliano, M.A, C.C.C., S.L.P.

  • Speech-Language Pathologist
  • Salt Lake City, UT
National Provider Identifier
1104947233
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
342489-4102 Issued in UT
Practice address
440 D St Ste 202
Salt Lake City, UT 84103-2827
Phone
(801) 408-4972
NPI assigned
Apr 3, 2007
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 342489-4102 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012003033 UT Practitioner - Qualified Speech Language Pathologist 7416222716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342489-4102UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 30, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 10, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 1, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Nov 30, 2024 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

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1104947233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 D ST STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032827",
            "telephone_number": "801-408-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8th Ave C St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841430001",
            "country_code": "US",
            "telephone_number": "801-408-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "M.A, C.C.C., S.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "342489-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.