Individual provider Active NPI

Junko Takagi, CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1891857983
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP47 Issued in AK
Practice address
1803 Kepner Dr
Anchorage, AK 99504-3061
Phone
(907) 727-8224
Fax
(855) 833-1069
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 SLP47 AK Primary

Addresses

Primary practice location

1803 Kepner Dr
Anchorage, AK 99504-3061

Mailing address

PO Box 110093
Anchorage, AK 99511-0093
Phone (907) 727-8224

Other identifiers 3

IdentifierTypeStateIssuer
1031128MedicaidAK
SP1907MedicaidAK
203597089OtherAKTAX ID

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

State licenses

LicenseStateTypeSpecialty
SLP47AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Junko K. Takagi 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1891857983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110093",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110093",
            "telephone_number": "907-727-8224",
            "fax_number": "907-333-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 KEPNER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043061",
            "telephone_number": "907-727-8224",
            "fax_number": "855-833-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAGI",
        "first_name": "JUNKO",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SLP47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031128",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP1907",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203597089",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.