Active NPI
Ana Chamorro, MS, CFY-SLP
- Speech-Language Pathologist
- Dubuque, IA
National Provider Identifier
1376259754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117798
- Practice address
- 3390 Lake Ridge Dr
Dubuque, IA 52003-7750 - Phone
- (563) 556-1977
- NPI assigned
- Jan 27, 2023
- 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 | 117798 | IA | Primary |
Addresses
Primary practice location
3390 Lake Ridge Dr
Dubuque, IA 52003-7750
Mailing address
2870 Danlin CT
Dubuque, IA 52002-2913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613003882 | IA | Practitioner - Qualified Speech Language Pathologist | 3375086721 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehab SLP Ia PLLC
Practice addresses (Care Compare)
2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117798 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab SLP Ia PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| The Rose of Dubuque, L.P. | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
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.
-
- Speech-Language Pathologist
- Norwalk, IA
- NPI 1427719947
IA, Speech-Language Pathologist
-
- Assisted Living Facility
- Dubuque, IA
- NPI 1134476633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1376259754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 DANLIN CT",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 LAKE RIDGE DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037750",
"telephone_number": "563-556-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMORRO",
"first_name": "ANA",
"credential": "MS, CFY-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "117798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.