Anna Nepomuceno

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6423 Issued in CT

Practice address

8 Roberta Dr
Middletown, CT 06457-5510

Phone

(860) 941-2938

NPI assigned

Nov 20, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Brainwork Speech Therapy

  • Speech-Language Pathologist
  • Middletown, CT
  • NPI 1396348264

  Single Specialty

  NPD Authorized official
• Brainwork Speech and Rehab, PLLC

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1942009360

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1124621081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROBERTA DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575510",
            "telephone_number": "860-941-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ROBERTA DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575510",
            "telephone_number": "860-941-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie B Nash, PHD
• Ryan Andrew Naujoks, M.D.
• Eric B Neadel, R, PA-C
• Kelli Ann Nelson, PA-C
• Peter B. Nelson, D.D.S.
• New Horizons Counseling
• New Horizons Mental Health LLC
• New Insights Behavioral Health
• Newchoice Homecare
• Newchoice Homecare

• Speech-Language Pathologist in Middletown, CT
• Providers in Middletown, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.