Anita Gail Herndon, CCC-MS-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2300 Issued in KY

Practice address

301 George Robinson Road
Hazel, KY 42049

Phone

(270) 492-8656

Fax

(270) 492-8628

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780779223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GEORGE ROBINSON ROAD",
            "city": "HAZEL",
            "state": "KY",
            "postal_code": "42049",
            "telephone_number": "270-492-8656",
            "fax_number": "270-492-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GEORGE ROBINSON ROAD",
            "city": "HAZEL",
            "state": "KY",
            "postal_code": "42049",
            "telephone_number": "270-492-8656",
            "fax_number": "270-492-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "ANITA",
        "middle_name": "GAIL",
        "credential": "CCC-MS-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS BILLING NUMBE",
            "identifier": "1288",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agape
• Megan Cheyenne Pitts, APRN
• Joseph Rice Saylor III, RPH

• All providers in Hazel, KY
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.