Individual provider Active NPI

Anna Berkeley Thomas, AUD

  • Audiologist
  • Murray, UT
National Provider Identifier
1609508530
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12855085-4101 Issued in UT
Practice address
164 E 5900 S Ste A107
Murray, UT 84107-7361
Phone
(801) 843-6113
Fax
(801) 843-6114
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12855085-4101 UT Primary

Addresses

Primary practice location

164 E 5900 S Ste A107
Murray, UT 84107-7361

Mailing address

2191 S Preston St
Salt Lake City, UT 84106-4110
Phone (717) 462-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108002750 UT Practitioner - Qualified Audiologist 6103202395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

295 S 1470
Suite 301
St George, UT 84790-1962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12855085-4101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Management LLC Audiologist CurrentSince Nov 7, 2024 Accepting new patients

Locations

1870 N Main St
Ste 202
Cedar City, UT 84721
Phone (435) 867-0714

164 E 5900 S
Ste A107
Salt Lake City, UT 84107
Phone (385) 347-5935

295 S 1470 E
Ste 301
St George, UT 84790
Phone (435) 688-8866

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1609508530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 S PRESTON ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064110",
            "telephone_number": "717-462-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E 5900 S STE A107",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077361",
            "telephone_number": "801-843-6113",
            "fax_number": "801-843-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANNA",
        "middle_name": "BERKELEY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "12855085-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.