Individual provider Active NPI

Anna E Hurtado, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Winter Garden, FL
National Provider Identifier
1477897015
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA18456 Issued in FL
Practice address
1002 S Dillard St Ste 106
Winter Garden, FL 34787-3991
Phone
(407) 877-0029
Fax
(407) 358-5207
NPI assigned
Nov 20, 2012
Last updated
Nov 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S3449 MS
Speech-Language Pathologist 235Z00000X SA18456 FL Primary

Addresses

Primary practice location

1002 S Dillard St Ste 106
Winter Garden, FL 34787-3991

Mailing address

15037 Lake Bessie Loop
Winter Garden, FL 34787-9281
Phone (601) 606-7059

Other identifiers 2

IdentifierTypeStateIssuer
12147580OtherMSASHA
S3449OtherMSMISSISSIPPI STATE BOARD OF HEALTH

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
SA18456FLMDSpeech-Language Pathologist
S3449MSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1477897015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15037 LAKE BESSIE LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879281",
            "telephone_number": "601-606-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S DILLARD ST STE 106",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873991",
            "telephone_number": "407-877-0029",
            "fax_number": "407-358-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "ANNA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3449",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12147580",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE BOARD OF HEALTH",
            "identifier": "S3449",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.