Individual provider Active NPI

Anna Summerlyn Ensor, M.S. CCC-SLP

  • Hearing and Speech Clinic/Center
  • Prattville, AL
National Provider Identifier
1356038350
Registry record updated Apr 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
14288759 Issued in AL
Practice address
564 N Memorial Dr
Prattville, AL 36067-2132
Phone
(334) 491-0066
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 14288759 AL Primary

Addresses

Primary practice location

564 N Memorial Dr
Prattville, AL 36067-2132

Mailing address

14963 Sunny Way
Northport, AL 35475-3344
Phone (205) 799-5340

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

LicenseStateTypeSpecialty
14288759ALMDHearing and Speech Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
The Bailey Center, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

564 N Memorial Dr
Prattville, AL 36067
Phone (334) 358-2010

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682208000000",
    "number": "1356038350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14963 SUNNY WAY",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354753344",
            "telephone_number": "205-799-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 N MEMORIAL DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360672132",
            "telephone_number": "334-491-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSOR",
        "first_name": "ANNA",
        "middle_name": "SUMMERLYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-23",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AL",
            "license": "14288759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.