Individual provider Active NPI

Ann Louise Cralidis, MA CCC/SP

  • Speech-Language Pathologist
  • Winston Salem, NC
National Provider Identifier
1790723112
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3742 Issued in NC
Practice address
811 W 5TH St
Suite 204
Winston Salem, NC 27101-2551
Phone
(336) 830-0287
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 3742 NC Primary

Addresses

Primary practice location

811 W 5TH St
Suite 204
Winston Salem, NC 27101-2551

Mailing address

811 W 5TH St
Suite 204
Winston Salem, NC 27101-2551
Phone (336) 830-0287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119002649 VA Practitioner - Qualified Speech Language Pathologist 3779587902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3742NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Speech & Language Services, Inc. Speech-Language Pathologist PastSince Jun 26, 2006 Accepting new patients
Longwood University Past Accepting new patients

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790723112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W 5TH ST",
            "address_2": "SUITE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012551",
            "telephone_number": "336-830-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W 5TH ST",
            "address_2": "SUITE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012551",
            "telephone_number": "336-830-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRALIDIS",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "credential": "MA CCC/SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.