Individual provider Active NPI

Anna B Duvall, MSSLP-CCC

  • Speech-Language Pathologist
  • Amarillo, TX
National Provider Identifier
1205122009
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106090 Issued in TX
Practice address
2400 Lakeview Dr
Ste 102
Amarillo, TX 79109-1532
Phone
(806) 468-9400
Fax
(806) 468-9401
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 106090 TX Primary

Addresses

Primary practice location

2400 Lakeview Dr
Ste 102
Amarillo, TX 79109-1532

Mailing address

2400 Lakeview Dr
Ste 102
Amarillo, TX 79109-1532
Phone (806) 468-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001287 TX Practitioner - Qualified Speech Language Pathologist 8921530361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Rehabilitation of Texas LLCGroup PAC ID 6608275607, 4 clinicians

Practice addresses (Care Compare)

1510 S Van Buren St
Amarillo, TX 79101-4130
Phone (806) 337-4000

400 SW 14TH Ave
Amarillo, TX 79101-4140
Phone (806) 337-5177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106090TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Century Rehabilitation of Texas LLC Speech-Language Pathologist CurrentSince Jul 29, 2024 Accepting new patients

Locations

4703 Bluebonnet Blvd
Baton Rouge, LA 70809
Phone (225) 661-2222

1510 S Van Buren St
Amarillo, TX 79101
Phone (806) 337-4000

Organizations & group practices 1

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1205122009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR",
            "address_2": "STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-468-9400",
            "fax_number": "806-468-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR",
            "address_2": "STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-468-9400",
            "fax_number": "806-468-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "ANNA",
        "middle_name": "B",
        "credential": "MSSLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.