Anna Tedder, M.S. CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61265913 Issued in WA

Practice address

5620 N 23Rd St
Tacoma, WA 98406-2908

Phone

(704) 689-0146

NPI assigned

Jul 12, 2021

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rooted Pediatric Speech and Feeding LLC

  • Speech-Language Pathologist
  • Tacoma, WA
  • NPI 1396521886
  NPD Authorized official
• Nourish Therapy LLC

  • Speech-Language Pathologist
  • Nolensville, TN
  • NPI 1376417881
  NPD Authorized official
• High Hopes, Inc.

  • Pediatric Physical Therapist
  • Franklin, TN
  • NPI 1861675084

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1144892084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 N 23RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 N 23RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062908",
            "telephone_number": "704-689-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "ANNA",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4343",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61265913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206180",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Spencer Cua Te, DO
• Walter Floyd Teachout, PH.D.
• Katie M Teague, AU.D.
• Nathan Teague, MD
• Julia Raquel Teall
• Finan Tedla, NP
• Cooper James Teed, LMT
• Angela Joyce Tefft, DNP, FNP-C, PMHNP-BC
• Zachary Tegen
• Tami Tegge

• Speech-Language Pathologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.