Individual provider Active NPI

Anna Frank, MS SLP CCC

  • Speech-Language Pathologist
  • Festus, MO
National Provider Identifier
1174800858
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2020033742 Issued in MO
Practice address
1371 YMCA Dr
Festus, MO 63028-2617
Phone
(636) 465-0726
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021304 NY
Speech-Language Pathologist 235Z00000X 2020033742 MO Primary

Addresses

Primary practice location

1371 YMCA Dr
Festus, MO 63028-2617

Mailing address

1371 YMCA Dr
Festus, MO 63028-2617
Phone (636) 465-0726

Other identifiers 1

IdentifierTypeStateIssuer
500106232MedicaidMO

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2020033742MOMDSpeech-Language Pathologist
021304NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom of Speech Therapy LLC Speech-Language Pathologist CurrentSince Mar 1, 2022 Accepting new patients
Team Physical Therapy, P.C. PastSince May 28, 2023 Accepting new patients

Locations

130 Main St
Ste 7
Festus, MO 63028
Phone (636) 465-0726

1371 Ymca Dr
Festus, MO 63028
Phone (636) 465-0726

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1174800858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-465-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-465-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "ANNA",
        "credential": "MS SLP CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021304",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020033742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500106232",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.