Individual provider Active NPI

Anna Wilson

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1720714199
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10422 Issued in FL
Practice address
1701 N Lois Ave Unit 232
Tampa, FL 33607-2381
Phone
(239) 887-1575
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 SZ10422 FL Primary

Addresses

Primary practice location

1701 N Lois Ave Unit 232
Tampa, FL 33607-2381

Mailing address

1701 N Lois Ave Unit 232
Tampa, FL 33607-2381
Phone (239) 887-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228000806 FL Practitioner - Qualified Speech Language Pathologist 2163892696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
South Tampa Voice Therapy LLCGroup PAC ID 1557653359, 3 clinicians

Practice addresses (Care Compare)

1101 66TH St N
St Petersburg, FL 33710-6200
Phone (727) 231-5561

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 779-3780

4707 W Gandy Blvd
Suite 3
Tampa, FL 33611-3310
Phone (813) 728-6601

8213 Killearn Lakes Ter
Tallahassee, FL 32312-4144
Phone (850) 391-0979

9381 US Hwy 19 N
Pinellas Park, FL 33782-5410
Phone (727) 220-0302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ10422FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Tampa Voice Therapy, LLC Speech-Language Pathologist CurrentSince Mar 24, 2025 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Sep 25, 2022 Accepting new patients
Legacy Healthcare Services, Inc Speech-Language Pathologist CurrentSince Sep 25, 2022 Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

4707 W Gandy Blvd
Ste 3
Tampa, FL 33611
Phone (813) 728-6601

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 3

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1720714199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N LOIS AVE UNIT 232",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072381",
            "telephone_number": "239-887-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N LOIS AVE UNIT 232",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072381",
            "telephone_number": "239-887-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.