Active NPI
Anna Nelson, M.S.
- Speech-Language Pathologist
- Nampa, ID
National Provider Identifier
1346645272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP-2569
- Practice address
- 320 11TH Ave S
Nampa, ID 83651-5073 - Phone
- (208) 466-1077
- Fax
- (208) 467-2201
- NPI assigned
- Nov 4, 2014
- 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 | TSLP-2569 | ID | Primary |
Addresses
Primary practice location
320 11TH Ave S
Nampa, ID 83651-5073
Mailing address
320 11TH Ave S
Nampa, ID 83651-5073
Phone (208) 466-1077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447427349 | Medicaid | ID |
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 |
|---|---|---|---|
| TSLP-2569 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1346645272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 11TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836515073",
"telephone_number": "208-466-1077",
"fax_number": "208-467-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 11TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836515073",
"telephone_number": "208-466-1077",
"fax_number": "208-467-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANNA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "TSLP-2569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447427349",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.