Organization Active NPI

Anchor Speech and Language, LLC

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1992128953
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9596 Issued in FL
Legal business name
ANCHOR SPEECH AND LANGUAGE, LLC
Practice address
2343 Sunset Bluff Dr
Jacksonville, FL 32216-4703
Phone
(518) 986-4089
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bethany L Walker, MS, CCC-SLPNPI 1376794909
Title
Owner
Phone
(518) 986-4089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA9596 FL Primary

Addresses

Primary practice location

2343 Sunset Bluff Dr
Jacksonville, FL 32216-4703

Mailing address

2343 Sunset Bluff Dr
Jacksonville, FL 32216-4703
Phone (518) 986-4089

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1992128953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 SUNSET BLUFF DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164703",
            "telephone_number": "518-986-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 SUNSET BLUFF DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164703",
            "telephone_number": "518-986-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR SPEECH AND LANGUAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-986-4089",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.