Individual provider Active NPI

Anna Catherine Weltjen, M.S.E.D SLP

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1508509704
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032985 Issued in NY
Practice address
780 Parkside Ave
Buffalo, NY 14216-2010
Phone
(716) 816-3440
NPI assigned
Apr 15, 2022
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 P116470 NY
Speech-Language Pathologist 235Z00000X 032985 NY Primary

Addresses

Primary practice location

780 Parkside Ave
Buffalo, NY 14216-2010

Mailing address

35 Ashland Ave Apt 2
Buffalo, NY 14222-2600
Phone (716) 491-6580

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

LicenseStateTypeSpecialty
032985NYMDSpeech-Language Pathologist
P116470NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Link for Children, PLLC PastSince Apr 1, 2022 Accepting new patients
Therapeutic Link for Children PastSince Apr 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508509704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ASHLAND AVE APT 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222600",
            "telephone_number": "716-491-6580",
            "fax_number": "716-662-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 PARKSIDE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162010",
            "telephone_number": "716-816-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTJEN",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "credential": "M.S.E.D SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "P116470",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.