Individual provider Active NPI

Anna Bowles Little, SLP

  • Speech-Language Pathologist
  • Winston Salem, NC
National Provider Identifier
1649953357
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002200 Issued in NC
Practice address
390 S Liberty St
Winston Salem, NC 27101-5260
Phone
(336) 934-4058
Fax
(743) 255-3010
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30002200 NC Primary

Addresses

Primary practice location

390 S Liberty St
Winston Salem, NC 27101-5260

Mailing address

307 Upton St
Winston Salem, NC 27103-1735
Phone (336) 837-4222

Other practice location 1

307 Upton St
Winston Salem, NC 27103-1735
Phone (336) 837-4222

Other names 1

  • Anna Bowles 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30002200NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehabilitation and Sports Physical Therapy, PC PastSince Oct 8, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1649953357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 UPTON ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031735",
            "telephone_number": "336-837-4222",
            "fax_number": "336-376-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S LIBERTY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015260",
            "telephone_number": "336-934-4058",
            "fax_number": "743-255-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Upton St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031735",
            "country_code": "US",
            "telephone_number": "336-837-4222",
            "fax_number": "336-376-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ANNA",
        "middle_name": "BOWLES",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BOWLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.