Individual provider Active NPI

Anna Kate Hambleton

  • Speech-Language Pathologist
  • Ladson, SC
National Provider Identifier
1376214510
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8102 Issued in SC
Practice address
3851 Commercial Center Dr
Ladson, SC 29456-4146
Phone
(843) 314-5434
Fax
(888) 510-9156
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7152000147 MI
Speech-Language Pathologist 235Z00000X 8102 SC Primary

Addresses

Primary practice location

3851 Commercial Center Dr
Ladson, SC 29456-4146

Mailing address

3851 Commercial Center Dr
Ladson, SC 29456-4146
Phone (843) 314-5434

Other practice location 1

3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406
Phone (734) 407-2500

Other names 1

  • Anna Kate Healey Former name

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

LicenseStateTypeSpecialty
7152000147MIMDSpeech-Language Pathologist
8102SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Futures Healthcore, LLC Speech-Language Pathologist CurrentSince Oct 1, 2021 Accepting new patients
Tri-County Therapy, LLC Speech-Language Pathologist PastSince Sep 20, 2022 Accepting new patients

Locations

3101 S Gulley Rd
Ste F
Dearborn, MI 48124
Phone (734) 407-2500

Organizations & group practices 2

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1376214510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 COMMERCIAL CENTER DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564146",
            "telephone_number": "843-314-5434",
            "fax_number": "888-510-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 COMMERCIAL CENTER DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564146",
            "telephone_number": "843-314-5434",
            "fax_number": "888-510-9156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 S Gulley Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244406",
            "country_code": "US",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBLETON",
        "first_name": "ANNA",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000147",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HEALEY",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.