Active NPI
Kelly D Annen, RPSGT
- Speech/Language/Hearing Specialist/Technologist
- Warsaw, IN
National Provider Identifier
1740870245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- License
- 24478
- Practice address
- 2101 Dubois Dr
Warsaw, IN 46580-3210 - Phone
- (574) 372-5889
- Fax
- (574) 372-5889
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 24478 | IN | Primary |
Addresses
Primary practice location
2101 Dubois Dr
Warsaw, IN 46580-3210
Mailing address
2101 Dubois Dr
Warsaw, IN 46580-3210
Phone (574) 372-5889
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24478 | IN | MD | Speech/Language/Hearing Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1740870245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 DUBOIS DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803210",
"telephone_number": "574-372-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 DUBOIS DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803210",
"telephone_number": "574-372-5889",
"fax_number": "574-372-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNEN",
"first_name": "KELLY",
"middle_name": "D",
"credential": "RPSGT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "IN",
"license": "24478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, IN
- Allied Physicians Inc., D/B/a Indiana Ohio Heart
- American Health Network of Indiana, LLC
- American Oncology Partners, P.a. (Fort Wayne Medical Oncology and Hematology)
- Clay Alan Anderson, DC
- Cory Andrews, A.T.C. L.A.T.
- Anthony Chiropractic LLC
- Brett A Anthony, DC
- Apex Dental Studio, Inc (Apex Dental Studio)
- Araceli Grant (Araceli Grant Counseling)
- Jairo Luis Arce-Morales, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.