Individual provider Active NPI

Annie Searcy, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Meridian, ID
National Provider Identifier
1215375449
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1892 Issued in ID
Practice address
3525 E Louise Dr
Suite 255
Meridian, ID 83642-6302
Phone
(208) 489-5099
Fax
(208) 489-5098
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 SLP-1892 ID Primary

Addresses

Primary practice location

3525 E Louise Dr
Suite 255
Meridian, ID 83642-6302

Mailing address

3525 E Louise Dr
Suite 255
Meridian, ID 83642-6302
Phone (208) 489-5099

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
SLP-1892IDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1215375449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 E LOUISE DR",
            "address_2": "SUITE 255",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426302",
            "telephone_number": "208-489-5099",
            "fax_number": "208-489-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E LOUISE DR",
            "address_2": "SUITE 255",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426302",
            "telephone_number": "208-489-5099",
            "fax_number": "208-489-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARCY",
        "first_name": "ANNIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.