Individual provider Active NPI

Anais May Brown, CCC-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1134600067
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0003271 Issued in CO
Practice address
3625 Citadel Dr S
Colorado Springs, CO 80909-5320
Phone
(719) 301-0002
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 SLP.0003271 CO Primary

Addresses

Primary practice location

3625 Citadel Dr S
Colorado Springs, CO 80909-5320

Mailing address

4775 Neeper Valley Rd
Manitou Springs, CO 80829-5826
Phone (719) 660-6011

Other practice location 1

102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone (512) 377-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240903002438 CO Practitioner - Qualified Speech Language Pathologist 3779022801 Reassigns benefits to 1 organization
I20240904002658 CA Practitioner - Qualified Speech Language Pathologist 3779022801 Reassigns benefits to 1 organization
I20241105000713 MN Practitioner - Qualified Speech Language Pathologist 3779022801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31952CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Oct 18, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Oct 18, 2024 Accepting new patients

Locations

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

102 S Tejon St
Ste 1100
Colorado Springs, CO 80903
Phone (514) 851-3224

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1134600067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 NEEPER VALLEY RD",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808295826",
            "telephone_number": "719-660-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CITADEL DR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095320",
            "telephone_number": "719-301-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Tejon St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032253",
            "country_code": "US",
            "telephone_number": "512-377-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANAIS",
        "middle_name": "MAY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0003271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.