Active NPI
Anne B. Scannell, MSCCC-SLP
- Speech-Language Pathologist
- Glendale, WI
National Provider Identifier
1912940511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2450-154
- Practice address
- 6700 N. Port Washington Rd.
C/O St. Francis Children'S Center
Glendale, WI 53217-3919 - Phone
- (414) 351-8850
- Fax
- (414) 351-8846
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2450-154 | WI | Primary |
Addresses
Primary practice location
6700 N. Port Washington Rd.
C/O St. Francis Children'S Center
Glendale, WI 53217-3919
Mailing address
6700 N. Port Washington Rd.
C/O St. Francis Children'S Center
Glendale, WI 53217-3919
Phone (414) 351-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42562200 | Medicaid | WI |
Other names 1
- Anne C. Branum
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2450-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1912940511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 N. PORT WASHINGTON RD.",
"address_2": "C/O ST. FRANCIS CHILDREN'S CENTER",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173919",
"telephone_number": "414-351-8850",
"fax_number": "414-351-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 N. PORT WASHINGTON RD.",
"address_2": "C/O ST. FRANCIS CHILDREN'S CENTER",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173919",
"telephone_number": "414-351-8850",
"fax_number": "414-351-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANNELL",
"first_name": "ANNE",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "MSCCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2450-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42562200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "BRANUM",
"middle_name": "C.",
"credential": "MSCCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.