Individual provider Active NPI

Anissa Weimer, M.S.

  • Speech-Language Pathologist
  • Pittsville, VA
National Provider Identifier
1386043800
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007531 Issued in VA
Practice address
4710 Brights Rd
Pittsville, VA 24139-3302
Phone
(434) 441-0137
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007531 VA Primary

Addresses

Primary practice location

4710 Brights Rd
Pittsville, VA 24139-3302

Mailing address

4710 Brights Rd
Pittsville, VA 24139-3302
Phone (434) 441-0137

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
2202007531VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsylvania County Schools Current Accepting new patients
Bright Strides Speech Therapy LLC Speech-Language Pathologist CurrentSince Oct 15, 2023 Accepting new patients

Locations

102 S Main St
Gretna, VA 24557
Phone (434) 352-1396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1386043800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 BRIGHTS RD",
            "city": "PITTSVILLE",
            "state": "VA",
            "postal_code": "241393302",
            "telephone_number": "434-441-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BRIGHTS RD",
            "city": "PITTSVILLE",
            "state": "VA",
            "postal_code": "241393302",
            "telephone_number": "434-441-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMER",
        "first_name": "ANISSA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.