Active NPI
Anna Grace Mixson, MS, CFY-SLP
- Speech-Language Pathologist
- Pensacola, FL
National Provider Identifier
1275115487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10043
- Practice address
- 7830 Pine Forest Rd
Pensacola, FL 32526-8404 - Phone
- (850) 941-5000
- NPI assigned
- Apr 27, 2021
- 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 | SZ10043 | FL | Primary |
Addresses
Primary practice location
7830 Pine Forest Rd
Pensacola, FL 32526-8404
Mailing address
4507 Lavallet LN
Pensacola, FL 32504-9036
Phone (850) 380-4427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | FL | 000 |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 00000 | ||
| Other URL | 0000 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10043 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1275115487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4507 LAVALLET LN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325049036",
"telephone_number": "850-380-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7830 PINE FOREST RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325268404",
"telephone_number": "850-941-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIXSON",
"first_name": "ANNA",
"middle_name": "GRACE",
"credential": "MS, CFY-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "000",
"identifier": "00000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "00000",
"affiliation": "N",
"address_1": "2600 Compass Rd",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600268001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "0000",
"affiliation": "N",
"address_1": "2600 Compass Rd",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600268001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.