Far North Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FAR NORTH SPEECH THERAPY

Practice address

4141 B St Ste 202
Anchorage, AK 99503-5940

Phone

(907) 764-8094

Fax

(844) 579-0084

NPI assigned

Oct 27, 2018

Organization subpart

No

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

Authorized official

Name

Meredith Mesquita, BS, MANPI 1619487972

Title

Owner

Phone

(907) 764-8094

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Mesquita

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1619487972
  NPD Authorized official

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1770050866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 54TH AVE STE 207",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 B ST STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035940",
            "telephone_number": "907-764-8094",
            "fax_number": "844-579-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR NORTH SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-27",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MESQUITA",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-764-8094",
        "authorized_official_credential": "BS, MA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677453",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Fanslow, MD
• Far North Care Coordination Agency
• Far North Eye Care, LLC
• Far North Health Services LLC
• Far North Medical Supplies LLC
• Far North Surgery and Surgical Oncology PC
• Far North Urology & Research PC
• Richard F Farah, M.D.
• Candice Renee Faria, NURSE PRACTITIONER
• Gina Farkas

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.