Annie Robertson, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8622 Issued in LA

Practice address

1316 E Kentucky Ave
Ruston, LA 71270-6609

Phone

(318) 224-9081

NPI assigned

Jun 10, 2020

Last updated

Apr 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Firm Foundation Speech Therapy

  • Speech-Language Pathologist
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  • NPI 1265193601

  Single Specialty

  NPD Authorized official
• Firm Foundation Occupational Therapy, LLC

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  • NPI 1811658255

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1891310389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706609",
            "telephone_number": "318-224-9081",
            "fax_number": "318-224-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706609",
            "telephone_number": "318-224-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ANNIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jacob Roark
• Robert B Kirton, DPM Inc
• Robert C. Rendina, D.C., Apc (Chironetwork Chiropractic Clinic)
• Jesse Henton Roberts Jr., DDS
• Jesse Henton Roberts III, DDS
• Gerald Melvin Robertson, M.D.
• Rochelle Robicheaux Metoyer, M.D.
• Bria Robinson, BCBA
• Tiffani Amber Robinson, LPC-A
• Rock Island Physical Therapy, LLC

• Speech-Language Pathologist in Ruston, LA
• Providers in Ruston, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.