Anna Axum, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14537382 Issued in LA

Practice address

219 S Border Dr
Bogalusa, LA 70427-3671

Phone

(985) 237-1683

NPI assigned

Apr 30, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Clinics of the Southeast LLC

  • Rural Health Clinic/Center
  • Bogalusa, LA
  • NPI 1053979815
  Medicare reassignment

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1477490209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 HARRY LEMONS RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704482275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S BORDER DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273671",
            "telephone_number": "985-237-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXUM",
        "first_name": "ANNA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "14537382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayagopal Appurao, M.D.
• Leslie S Arceneaux, MSN, C-FNP, CDE
• Tekeisha Ard, MSW
• Henry Y Au, CRNA
• Shaul David Austin, LPC
• Back on Track, Inc
• Brittany Faith Baldo
• Tien Niem Banh, PST.018840 (PHARM.D)
• Robert Bradford Bardy, P.T., D.P.T.
• Shannon H Barnes

• Speech-Language Pathologist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.

Verify at the official NPI Registry.