Anne Marie Welensky, MCD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14047001 Issued in CA

Practice address

1796 Northstar Dr
Petaluma, CA 94954-6663

Phone

(404) 643-7126

NPI assigned

Sep 2, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Blossom Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Petaluma, CA
  • NPI 1093221467
  NPD (past) Authorized official

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164822797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 NORTHSTAR DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546663",
            "telephone_number": "404-643-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 NORTHSTAR DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546663",
            "telephone_number": "404-643-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3498 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Rescue",
            "state": "CA",
            "postal_code": "956729625",
            "country_code": "US",
            "telephone_number": "530-219-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELENSKY",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14047001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Dana Weeks, M.D.
• Shari Robin Weiser, AMFT
• Kelsey Nichole Weiss
• Stephen A. Weiss, MD
• Danielle Welch
• Kelly Colleen Wells
• Vanessa Wells
• Morgan Michelle Wenell
• David Wentworth
• Druesella Ferber West, MFT

• Speech-Language Pathologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.