Active NPI
Anna Shealy Gray, MSP/CCC-SLP
- Speech-Language Pathologist
- Anderson, SC
National Provider Identifier
1922633510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2342
- Practice address
- 2701 Calrossie Rd
Anderson, SC 29621-2794 - Phone
- (864) 260-5105
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 2342 | SC | Primary |
Addresses
Primary practice location
2701 Calrossie Rd
Anderson, SC 29621-2794
Mailing address
402 N Main St Apt 602
Anderson, SC 29621-5659
Phone (864) 221-5357
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 |
|---|---|---|---|
| 2342 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1922633510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 N MAIN ST APT 602",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215659",
"telephone_number": "864-221-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 CALROSSIE RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212794",
"telephone_number": "864-260-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANNA",
"middle_name": "SHEALY",
"name_prefix": "Ms.",
"credential": "MSP/CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "2342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.