Active NPI
Anna Coleman
- Speech-Language Pathologist
- Salem, OR
National Provider Identifier
1619269131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015714
- Practice address
- 875 Oak St SE Ste 3040
Salem, OR 97301-3906 - Phone
- (503) 346-0640
- NPI assigned
- May 3, 2011
- Sex
- Female
- Sole proprietor
- No
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 | SLP 2766 | ID | |
| Speech-Language Pathologist | 235Z00000X | 015714 | OR | Primary |
Addresses
Primary practice location
875 Oak St SE Ste 3040
Salem, OR 97301-3906
Mailing address
875 Oak St SE Ste 3040
Salem, OR 97301-3906
Phone (503) 346-0640
Other practice location 1
320 11th Ave S
Suite 204
Nampa, ID 83651-5073
Phone (208) 466-1077
Other practice location 2
875 Oak St SE Ste 3040
Salem, OR 97301-3906
Phone (503) 346-0640
Other names 1
- Anna Lang
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 2766 | ID | MD | Speech-Language Pathologist |
| 015714 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1619269131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 OAK ST SE STE 3040",
"city": "SALEM",
"state": "OR",
"postal_code": "973013906",
"telephone_number": "503-346-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 OAK ST SE STE 3040",
"city": "SALEM",
"state": "OR",
"postal_code": "973013906",
"telephone_number": "503-346-0640"
}
],
"practiceLocations": [
{
"address_1": "320 11th Ave S",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836515073",
"country_code": "US",
"telephone_number": "208-466-1077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 Oak St SE Ste 3040",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973013906",
"country_code": "US",
"telephone_number": "503-346-0640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP 2766",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "015714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "LANG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.