Active NPI
Anna Bergen, CCC-SLP
- Speech-Language Pathologist
- Dillsboro, NC
National Provider Identifier
1306161120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8414
- Practice address
- 919 Haywood Rd, Ste 101
Dillsboro, NC 28725-0000 - Phone
- (828) 586-1612
- Fax
- (828) 586-0420
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 8414 | NC | Primary |
Addresses
Primary practice location
919 Haywood Rd, Ste 101
Dillsboro, NC 28725-0000
Mailing address
PO Box 432
Cullowhee, NC 28723-0432
Phone (828) 586-1612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14006348 | Other | NC | ASHA |
| 8414 | Other | NC | NC STATE LICENSURE |
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 |
|---|---|---|---|
| 8414 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Therapies, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1306161120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "CULLOWHEE",
"state": "NC",
"postal_code": "287230432",
"telephone_number": "828-586-1612",
"fax_number": "828-586-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 HAYWOOD RD, STE 101",
"city": "DILLSBORO",
"state": "NC",
"postal_code": "287250000",
"telephone_number": "828-586-1612",
"fax_number": "828-586-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGEN",
"first_name": "ANNA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14006348",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSURE",
"identifier": "8414",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dillsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.