Individual provider Active NPI

Anna Lea Meland, CFY-SLP

  • Speech-Language Pathologist
  • West Fargo, ND
National Provider Identifier
1174756522
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0064702 Issued in ND
Practice address
3420 9TH St W
West Fargo, ND 58078-7761
Phone
(701) 356-2130
Fax
(701) 356-2139
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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 0064702 ND Primary

Addresses

Primary practice location

3420 9TH St W
West Fargo, ND 58078-7761

Mailing address

3420 9TH St W
West Fargo, ND 58078-7761
Phone (701) 356-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0064702NDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1174756522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 9TH ST W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787761",
            "telephone_number": "701-356-2130",
            "fax_number": "701-356-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 9TH ST W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787761",
            "telephone_number": "701-356-2130",
            "fax_number": "701-356-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELAND",
        "first_name": "ANNA",
        "middle_name": "LEA",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "0064702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.