Anna Vance, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007337 Issued in GA

Practice address

1746 Alderbrook Rd NE
Atlanta, GA 30345-4110

Phone

(770) 630-4104

NPI assigned

Feb 5, 2020

Last updated

Mar 8, 2022By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1528690856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 ALDERBROOK RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303454110",
            "telephone_number": "770-630-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 ALDERBROOK RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303454110",
            "telephone_number": "770-630-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ANNA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12130056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF EXAMINER'S",
            "identifier": "SLP007337",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuy Van
• Cortney Rose Vanacker, PA-C
• Ingrid V Vanbeneden, PAAA
• Olivia Vanbenschoten
• James K Vanburen, M.D.
• Christina Renee Vance, OT
• Courtney Elaine Vance, MD
• Thomas Anthony Vance Jr., PHD
• Hope Elizabeth Vancleve, DO
• Stephanie Monica Vandellen

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.