Anna M Stoudenmire, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24133 Issued in SC

Practice address

751 E Gerogia Road
Woodruff, SC 29388

Phone

(864) 770-5034

NPI assigned

Jan 31, 2017

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1811434681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KEELER MILL RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909050",
            "telephone_number": "864-770-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E GEROGIA ROAD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "29388",
            "telephone_number": "864-770-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDENMIRE",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-16-24133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)
• South Carolina Post Acute Medical Services 1 PC
• Spartanburg County School District Four
• Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Woodruff)
• Andrea Kittye Stanley
• Kelsey Starr Stroud, M.ED., BCBA
• Matthew Sullivan, PT
• The Tribe of South Carolina Home Care LLC (The Tribe)
• Thomas Fordham Brewer MD PLLC
• Shannon Leigh Tyner Thompson, BCBA

• Behavior Analyst in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.