Active NPI
Anne Sullivan-Douglas
- Speech-Language Pathologist
- Katy, TX
National Provider Identifier
1306157870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18260
- Practice address
- 20500 Kingsland Blvd
Katy, TX 77450-2923 - Phone
- (281) 237-0115
- NPI assigned
- Jun 29, 2010
- 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 | 18260 | TX | Primary |
Addresses
Primary practice location
20500 Kingsland Blvd
Katy, TX 77450-2923
Mailing address
20500 Kingsland Blvd
Katy, TX 77450-2923
Phone (281) 237-0115
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18260 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1306157870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20500 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774502923",
"telephone_number": "281-237-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20500 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774502923",
"telephone_number": "281-237-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN-DOUGLAS",
"first_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.