Individual provider Active NPI

Anni Charthern, CSCD, CCC-SLP

  • Speech-Language Pathologist
  • Sherman Oaks, CA
National Provider Identifier
1467896746
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
21149 Issued in CA
Practice address
4717 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-2149
Phone
(818) 917-5268
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 21149 CA Primary

Addresses

Primary practice location

4717 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-2149

Mailing address

4717 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-2149
Phone (818) 917-5268

Other practice location 1

8200 Professional Pl Ste 114
Landover, MD 20785-2293
Phone (818) 917-5268

Other identifiers 1

IdentifierTypeStateIssuer
12552187OtherCACAQH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cet Burbank LLC Speech-Language Pathologist CurrentSince Mar 5, 2023 Accepting new patients
Creative Expression Therapy Speech-Language Pathologist CurrentSince Feb 14, 2021 Accepting new patients

Locations

601 S Glenoaks Blvd
Ste 204
Burbank, CA 91502
Phone (818) 371-0199

4717 Van Nuys Blvd
Ste 101
Sherman Oaks, CA 91403
Phone (818) 491-8404

13400 Riverside Dr
Ste 310
Sherman Oaks, CA 91423
Phone (818) 245-5352

8200 Professional Pl
Ste 114
Landover, MD 20785
Phone (240) 297-3550

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1467896746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032149",
            "telephone_number": "818-917-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032149",
            "telephone_number": "818-917-5268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Professional Pl Ste 114",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207852293",
            "country_code": "US",
            "telephone_number": "818-917-5268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARTHERN",
        "first_name": "ANNI",
        "name_prefix": "Dr.",
        "credential": "CSCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12552187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.