Anna Linley Larrimore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-5207 Issued in MS

Practice address

4805 W 4TH St
Hattiesburg, MS 39402-1019

Phone

(601) 270-6968

Fax

(601) 336-5255

NPI assigned

May 29, 2024

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MS

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Therapy LLCGroup PAC ID 7012971047, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment Care Compare group NPD
• Aultman Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Sumrall, MS
  • NPI 1912154220
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1497595201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021019",
            "telephone_number": "601-270-6968",
            "fax_number": "601-336-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021019",
            "telephone_number": "601-270-6968",
            "fax_number": "601-336-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIMORE",
        "first_name": "ANNA",
        "middle_name": "LINLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lambert, MD
• Britney Lamont, OTD, OTR/L
• Lisa M Lancaster, MD
• Joel Alexander Land, MD
• Melanie Lane
• Michele F Larrow, PHD
• Tammy Laub
• Rebecca Walters Lauderdale, M.D.
• Tressy N Lauga, CRNA
• Wright B Lauten, MD

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.