Active NPI
Anna Camille McKelphin, M.S., ED.D., CCC-SLP
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1588008494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1200 1St St NE FL 9
Washington, DC 20002-7953 - Phone
- (240) 765-9380
- Fax
- (630) 214-8087
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X | SLP00061 | DC |
Addresses
Primary practice location
1200 1St St NE FL 9
Washington, DC 20002-7953
Mailing address
7103 Murphy CT
Temple Hills, MD 20748-5428
Phone (240) 765-9380
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05262 | MD | MD | Occupational Therapist |
| SLP00061 | DC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Mac, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba KC Mac Therapeutic Services
- Speech-Language Pathologist
- Temple Hills, MD
- NPI 1275977092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1588008494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7103 MURPHY CT",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207485428",
"telephone_number": "240-765-9380",
"fax_number": "301-449-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST ST NE FL 9",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027953",
"telephone_number": "240-765-9380",
"fax_number": "630-214-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELPHIN",
"first_name": "ANNA",
"middle_name": "CAMILLE",
"credential": "M.S., ED.D., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP00061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.