Active NPI
Anne Fantauzzo
- Speech-Language Pathologist
- Springfield, OH
National Provider Identifier
1982139416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.10106
- Practice address
- 1500 W Jefferson St
Springfield, OH 45506-1224 - Phone
- (937) 505-2800
- NPI assigned
- Apr 21, 2017
- 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 | SP.10106 | OH | Primary |
Addresses
Primary practice location
1500 W Jefferson St
Springfield, OH 45506-1224
Mailing address
2057 Derby Dr
Marysville, OH 43040-8152
Phone (937) 926-0035
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 |
|---|---|---|---|
| SP.10106 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1982139416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2057 DERBY DR",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408152",
"telephone_number": "937-926-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W JEFFERSON ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455061224",
"telephone_number": "937-505-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANTAUZZO",
"first_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.10106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
- Family Medicine & Adult Care LLC
- Family Physicians of Springfield, Inc
- Family Physicians of Springfield, Inc.
- Family Practice Associates of Springfield LLC
- Amber Fannin
- Nancy M Farnlacher, M.D
- Rose M. Farrar, LISW-S/ LICDC
- Heidi Michelle Fauber, MSN, RN, NP-C
- Keri Faust, RN
- Gaetano Thomas Fazio Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.