Active NPI
Anna Katherine Mullis, M. A., CCC-SLP
- Speech-Language Pathologist
- Chapel Hill, NC
National Provider Identifier
1184986564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13577
- Practice address
- 1829 E Franklin St Ste 600
Chapel Hill, NC 27514-5863 - Phone
- (919) 968-3456
- NPI assigned
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13577 | NC | Primary |
Addresses
Primary practice location
1829 E Franklin St Ste 600
Chapel Hill, NC 27514-5863
Mailing address
811B Jackson St
Durham, NC 27701-3124
Phone (919) 619-4399
Other practice location 1
4607 Manchaca Rd
Austin, TX 78745-1607
Phone (512) 916-1511
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13577 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidtherapy, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
| Total Rehabilitation Inc | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Chapel Hill, NC
- NPI 1760477715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1184986564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811B JACKSON ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013124",
"telephone_number": "919-619-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 E FRANKLIN ST STE 600",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145863",
"telephone_number": "919-968-3456"
}
],
"practiceLocations": [
{
"address_1": "4607 Manchaca Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451607",
"country_code": "US",
"telephone_number": "512-916-1511",
"fax_number": "512-916-1532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLIS",
"first_name": "ANNA",
"middle_name": "KATHERINE",
"credential": "M. A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.