Individual provider Active NPI

Anne T.H. Hommes, MA, CCC/SP

  • Speech-Language Pathologist
  • Philomath, OR
National Provider Identifier
1851531511
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11472 Issued in OR
Practice address
138 S. 12TH Street
Philomath, OR 97370-1492
Phone
(541) 929-4568
Fax
(541) 929-4513
NPI assigned
Feb 20, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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 11472 OR Primary

Addresses

Primary practice location

138 S. 12TH Street
Philomath, OR 97370-1492

Mailing address

PO Box 1492
Philomath, OR 97370-1492
Phone (541) 929-4568

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 Arts

State licenses

LicenseStateTypeSpecialty
11472ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemary Ayres, Ms, CCC-SLP 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1851531511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1492",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973701492",
            "telephone_number": "541-929-4568",
            "fax_number": "541-929-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S. 12TH STREET",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973701492",
            "telephone_number": "541-929-4568",
            "fax_number": "541-929-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMMES",
        "first_name": "ANNE",
        "middle_name": "T.H.",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philomath, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.