Individual provider Active NPI

Anna Claire Pettigrew, SLP

  • Speech-Language Pathologist
  • Corinth, MS
National Provider Identifier
1821728650
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S4933 Issued in MS
Practice address
2203 Highway 72 E
Corinth, MS 38834-8859
Phone
(662) 872-3177
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 S4933 MS Primary

Addresses

Primary practice location

2203 Highway 72 E
Corinth, MS 38834-8859

Mailing address

2203 Highway 72 E
Corinth, MS 38834-8859
Phone (662) 872-3177

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rking@kingspeechlanguagetherapy.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117000306 MS Practitioner - Qualified Speech Language Pathologist 7012385396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King Speech-Language Therapy, LLCGroup PAC ID 6901169291, 3 clinicians

Practice addresses (Care Compare)

2203 Hwy 72 E
Corinth, MS 38834-8859
Phone (662) 872-3177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S4933MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
King Speech-Language Therapy, LLC Speech-Language Pathologist CurrentSince Nov 3, 2022 Accepting new patients

Locations

2203 Highway 72 E
Corinth, MS 38834
Phone (662) 415-8613

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1821728650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 HIGHWAY 72 E",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348859",
            "telephone_number": "662-872-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 HIGHWAY 72 E",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348859",
            "telephone_number": "662-872-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "ANNA",
        "middle_name": "CLAIRE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rking@kingspeechlanguagetherapy.com",
            "affiliation": "N",
            "address_1": "2203 Highway 72 E",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388348859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.