Active NPI
Anna K Teall, M.S., CCC-SLP
- Speech-Language Pathologist
- Spokane, WA
National Provider Identifier
1770139008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61097168
- Practice address
- 123 W Cascade Way
Spokane, WA 99208-6017 - Phone
- (509) 624-3115
- NPI assigned
- Aug 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP-3995 | ID | |
| Speech-Language Pathologist | 235Z00000X | LL61097168 | WA | Primary |
Addresses
Primary practice location
123 W Cascade Way
Spokane, WA 99208-6017
Mailing address
123 W Cascade Way
Spokane, WA 99208-6017
Phone (509) 624-3115
Other practice location 1
9425 N Nevada St Ste 100
Spokane, WA 99218
Phone (509) 624-3115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61091768 | Other | WA | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP-3995 | ID | MD | Speech-Language Pathologist |
| LL61097168 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1770139008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W CASCADE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086017",
"telephone_number": "509-624-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W CASCADE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086017",
"telephone_number": "509-624-3115"
}
],
"practiceLocations": [
{
"address_1": "9425 N Nevada St Ste 100",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99218",
"country_code": "US",
"telephone_number": "509-624-3115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEALL",
"first_name": "ANNA",
"middle_name": "K",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "TSLP-3995",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61097168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "61091768",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.