Individual provider Active NPI

Ann Katherine Temple, M.S.

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1811318850
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1178 Issued in HI
Practice address
475 22ND Avenue
Building 302, Room 101
Honolulu, HI 96816
Phone
(808) 305-9750
Fax
(808) 733-9154
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11635 OH
Speech-Language Pathologist 235Z00000X 1178 HI Primary

Addresses

Primary practice location

475 22ND Avenue
Building 302, Room 101
Honolulu, HI 96816

Mailing address

475 22ND Avenue
Building 302, Room 101
Honolulu, HI 96816
Phone (808) 305-9750

Other identifiers 2

IdentifierTypeStateIssuer
1178OtherHIDEPARTMENT OF COMMERCE & CONSUMER AFFAIRS - STATE OF HAWAII
11635OtherOHOHIO BOARD OF SPEECH PATHOLOGY AND AUDIOLOGY

Other names 1

  • Annie Temple Other name

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

LicenseStateTypeSpecialty
11635OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Integrated Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1811318850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 22ND AVENUE",
            "address_2": "BUILDING 302, ROOM 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-305-9750",
            "fax_number": "808-733-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 22ND AVENUE",
            "address_2": "BUILDING 302, ROOM 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-305-9750",
            "fax_number": "808-733-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "ANN",
        "middle_name": "KATHERINE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11635",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS - STATE OF HAWAII",
            "identifier": "1178",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF SPEECH PATHOLOGY AND AUDIOLOGY",
            "identifier": "11635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "TEMPLE",
            "credential": "M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.