ANNA MICHELLE HAVENS BANNER (NPI# 1063673374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063673374 |
Entity Type | Individual |
Full Name | ANNA MICHELLE HAVENS BANNER |
Other Name | ANNA BANNER |
Credential | STA |
Practice Address |
5507 Sw 9th Avenue Amarillo TX 79106 |
Practice Telephone | 8064687611 |
Practice Fax Number | 8064687603 |
Mailing Telephone | 8064687611 |
Mailing Fax Number | 8064687603 |
Enumeration Date | 2008-06-19 |
Last Update Date | 2018-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
0217267-01 | TX | Speech, Language and Hearing Service Providers |
N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
34253 | TX | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 0217267-01 | 05 |
Street Address |
5507 SW 9TH AVENUE |
City | AMARILLO |
State | TX |
Zip Code | 79106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861612418 | Kira Dunavin | Speech-Language Pathologist | 5507 Sw 9th Avenue, Amarillo, TX 79106 | 2007-04-26 |
1962867481 | Breana Cooper | Speech-Language Pathologist | 5507 Sw 9th Avenue, Amarillo, TX 79106 | 2015-12-28 |
1417297441 | Jessica Johnson | Occupational Therapist | 5507 Sw 9th Avenue, Amarillo, TX 79106 | 2013-02-28 |
1720241219 | Erin Michelle Wilson | Physical Therapy Assistant | 5507 Sw 9th Avenue, Amarillo, TX 79106 | 2008-07-06 |
1013137538 | Ryan Sanders | Physical Therapist | 5507 Sw 9th Avenue, Amarillo, TX 79106 | 2007-04-26 |
1578783031 | Marcia Bentle | Occupational Therapy Assistant | 5507 Sw 9th Avenue, Amarillo, TX 79106 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
Find all providers in zip 79106 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043873490 | Robbi Renee Barnett | Specialist/Technologist | 3001 Sw 58th Ave Apt 505, Amarillo, TX 79118-1235 | 2019-04-20 |
1326554411 | Speech Language Service Unlimited | Specialist/Technologist | 1901 Medi Park Dr Ste 1038, Amarillo, TX 79106-2110 | 2017-12-27 |
1770009730 | Tasha N Thomas | Specialist/Technologist | 600 S Tyler St Ste 805, Amarillo, TX 79101-2353 | 2017-08-21 |
1831619915 | Jordan Brooke Guerra | Specialist/Technologist | 1901 Medi Park Dr Ste 2048, Amarillo, TX 79106-2109 | 2017-06-21 |
1275900607 | Ashley Copheranham | Specialist/Technologist | 1901 Medi Park Dr, Amarillo, TX 79106-2110 | 2015-09-02 |
1184006868 | Cheryl Abella | Specialist/Technologist | 5507 Sw 9th Ave, Amarillo, TX 79106-4130 | 2015-06-18 |
1568876985 | Tonyanicole Walker Parsons | Specialist/Technologist | 1901 Medi Park Dr, Suie Number 2048, Amarillo, TX 79106-2110 | 2014-06-13 |
1568710960 | Jennifer Helms | Specialist/Technologist | 1901 Medi Park Dr, Suite 65, Amarillo, TX 79106-2110 | 2012-08-16 |
1255687281 | Mellinda Lawson | Specialist/Technologist | 1901 Medi Park Dr, Suite 65, Amarillo, TX 79106-2110 | 2012-07-27 |
1700190477 | Robbie Byrd | Specialist/Technologist | 1901 Medi Park Dr, Suite 65, Amarillo, TX 79106-2110 | 2010-08-04 |
Find all providers in AMARILLO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.