Individual provider Active NPI

Anna Elise Carsrud, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Humble, TX
National Provider Identifier
1720477342
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
109732 Issued in TX
Practice address
19100 W Lake Houston Pkwy
Suite #104
Humble, TX 77346-5138
Phone
(281) 812-9519
Fax
(281) 812-5719
NPI assigned
Jan 20, 2015
Last updated
Jan 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 109732 TX Primary

Addresses

Primary practice location

19100 W Lake Houston Pkwy
Suite #104
Humble, TX 77346-5138

Mailing address

19100 W Lake Houston Pkwy
Suite #104
Humble, TX 77346-5138
Phone (281) 812-9519

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
109732TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Speech and Language Services PLLC Speech-Language Pathologist PastSince Aug 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1720477342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY",
            "address_2": "SUITE #104",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465138",
            "telephone_number": "281-812-9519",
            "fax_number": "281-812-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY",
            "address_2": "SUITE #104",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465138",
            "telephone_number": "281-812-9519",
            "fax_number": "281-812-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSRUD",
        "first_name": "ANNA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.