Active NPI
Annette Myers
- Speech-Language Pathologist
- Walkersville, MD
National Provider Identifier
1396216024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02785
- Practice address
- 83 W Frederick St
Walkersville, MD 21793-8216 - Phone
- (240) 236-1000
- NPI assigned
- Dec 6, 2018
- Last updated
- Dec 6, 2018
- 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 | 02785 | MD | Primary |
Addresses
Primary practice location
83 W Frederick St
Walkersville, MD 21793-8216
Mailing address
83 W Frederick St
Walkersville, MD 21793-8216
Phone (240) 236-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541628100 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02785 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1396216024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 W FREDERICK ST",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938216",
"telephone_number": "240-236-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 W FREDERICK ST",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938216",
"telephone_number": "240-236-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541628100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walkersville, MD
- Maryland CVS Pharmacy LLC (CVS Pharmacy #01509)
- McLaughlin Family Chiropractic Inc
- Shraddha Mistry, PT
- Sandra Molina
- Gnanavel Munirathinam, PHARMACIST
- Myvel Associates Inc (Walkersville Pharmacy)
- Nai Saturn Eastern LLC (Safeway Pharmacy #0128)
- Nai Saturn Eastern LLC (Safeway Pharmacy #0128)
- Lisa Naugle, COTA
- Jaimee Suzanne Nichols Hammerman, MS; CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.