Anita Thames, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0303 Issued in MS

Practice address

Kamper's Alley
#3
Laurel, MS 39442

Phone

(601) 426-6116

Fax

(601) 425-5829

NPI assigned

Apr 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Laurel Speech, Language and Hearing Ctr

  • Speech-Language Pathologist
  • Laurel, MS
  • NPI 1700974227
  NPD (past) Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1255503025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2694",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394422694",
            "telephone_number": "601-426-6116",
            "fax_number": "601-425-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAMPER'S ALLEY",
            "address_2": "#3",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39442",
            "telephone_number": "601-426-6116",
            "fax_number": "601-425-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makinley Taylor
• TD Angel Homecare LLC (TD Mobile Lab & Specimen)
• Karen Sue Temple, CFNP
• Tender Loving Care Homecare LLC
• Tender Touch Adult Day Services
• Sarah Nicole Thames, FNP, MSN, RN
• Scott Freland Thames, D.M.D.
• Stone Thames, D.M.D
• The FHC Foundation for Health Care Disparities, Inc.
• The Oral & Maxillofacial Surgery Center, P.a.

• Speech-Language Pathologist in Laurel, MS
• Providers in Laurel, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.