Anna Elizabeth McCutcheon-Nunn, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146015747 Issued in IL

Practice address

North Shore Pediatric Therapy- Deerfield
707 Lake Cook Road Suite 312
Deerfield, IL 60015

Phone

(877) 985-3601

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Anna Elizabeth Hale Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JP Therapy LLCGroup PAC ID 6709192503, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• JP Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Virginia Beach, VA
  • NPI 1851770598
  Medicare reassignment Care Compare group NPD
• Kiernan Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Chesapeake, VA
  • NPI 1912455023
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1669032835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NSPT",
            "address_2": "707 LAKE COOK ROAD SUITE 312",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "757-455-5000",
            "fax_number": "757-319-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH SHORE PEDIATRIC THERAPY- DEERFIELD",
            "address_2": "707 LAKE COOK ROAD SUITE 312",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "877-985-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON-NUNN",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000259",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009575",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146015747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HALE",
            "middle_name": "ELIZABETH",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Charles May, M.D.
• Douglas Aloysius Mazewski, PHARMD
• Amy Lyn McAndrew, PTA
• Deja McCrary
• Hannah McCue
• Julie McDaniel, RN
• Hayley Jade McDonald
• Lindsay McDonnell, LCPC, CADC
• Mary McGilvray
• Taylor McMillian

• Speech-Language Pathologist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.