KATHLEEN MITCHELL-ANDERSON M.S. ED, CCC-SLP
NPI 1114476181
Speech-Language Pathologist in Jacksonville, FL
About Kathleen Mitchell-anderson M.s. Ed, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MITCHELL-ANDERSON M.S. ED, CCC-SLP (NPI 1114476181) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA8759) and active in the NPI registry since September 2016. She maintains a secondary practice location in Saint Augustine and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Mitchell-anderson M.s. Ed, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Mitchell-anderson's NPI number?
The NPI number for Kathleen Mitchell-anderson is 1114476181. It was assigned to this individual provider in the NPPES registry on September 30, 2016.
Where is Kathleen Mitchell-anderson located?
Kathleen Mitchell-anderson practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Kathleen Mitchell-anderson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kathleen Mitchell-anderson enrolled in Medicare?
Yes. Kathleen Mitchell-anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kathleen Mitchell-anderson accept?
Health plans from Molina Healthcare list Kathleen Mitchell-anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Mitchell-anderson was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Mitchell-Anderson, M.S. ED, CCC-SLP · NPI 1114476181
Speech-Language Pathologist provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since September 30, 2016.
## Identity
- **NPI:** 1114476181 (Entity type: Individual)
- **Enumerated:** September 30, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SA8759 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114476181) · Data from the CMS NPPES public registry.