Individual provider Active NPI

Anne Holloway Bohannon, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Middletown, OH
National Provider Identifier
1508585563
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11597 Issued in OH
Practice address
4913 Oaks CT
Middletown, OH 45042-4921
Phone
(859) 816-1190
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 11597 OH Primary

Addresses

Primary practice location

4913 Oaks CT
Middletown, OH 45042-4921

Mailing address

4913 Oaks CT
Middletown, OH 45042-4921
Phone (859) 816-1190

Other identifiers 3

IdentifierTypeStateIssuer
11597OtherOHOHIO SPEECH AND HEARING PROFESSIONALS BOARD
14051394OtherASHA
OH3228036OtherOHOHIO DEPARTMENT OF EDUCATION PUPIL SERVICES LICENSE

Other names 1

  • Anne Holloway Schwartz Former name

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
11597OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1508585563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 OAKS CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424921",
            "telephone_number": "859-816-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 OAKS CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424921",
            "telephone_number": "859-816-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNON",
        "first_name": "ANNE",
        "middle_name": "HOLLOWAY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SPEECH AND HEARING PROFESSIONALS BOARD",
            "identifier": "11597",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14051394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF EDUCATION PUPIL SERVICES LICENSE",
            "identifier": "OH3228036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "SCHWARTZ",
            "middle_name": "HOLLOWAY",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.