Individual provider Active NPI

Anna Coleman

  • Speech-Language Pathologist
  • Salem, OR
National Provider Identifier
1619269131
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015714 Issued in OR
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

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP 2766IDMDSpeech-Language Pathologist
015714ORMDSpeech-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.

Verify at the official NPI Registry.