Active NPI
Cheryl Anne Dunn, MS CCCSLP
- Speech-Language Pathologist
- Anaconda, MT
National Provider Identifier
1346464310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 936
- Practice address
- 1771 Obsidian Lane
Anaconda, MT 59711 - Phone
- (406) 560-2916
- NPI assigned
- Apr 12, 2007
- 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 | 936 | MT | Primary |
Addresses
Primary practice location
1771 Obsidian Lane
Anaconda, MT 59711
Mailing address
401 West Pennsylvania
Anaconda, MT 59711
Phone (406) 560-2916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0530910 | Medicaid | MT |
Other names 1
- Cheryl Anne Palm
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 936 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1346464310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WEST PENNSYLVANIA",
"city": "ANACONDA",
"state": "MT",
"postal_code": "59711",
"telephone_number": "406-560-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 OBSIDIAN LANE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "59711",
"telephone_number": "406-560-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CHERYL",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MS CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0530910",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "PALM",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.