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Anna Michelle Havens Banner , STA

Specialist/Technologist - Speech-Language Assistant β€’ Amarillo, TX

Active NPI 1063673374 Individual Practitioner Female Practitioner
Practice location in NPPES

5507 Sw 9th Avenue
Amarillo, TX 79106

Call 8064687611 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5507 Sw 9th Avenue

Amarillo, TX 79106

Telephone 8064687611
Fax 8064687603
Organization at the Same NPPES Address or Phone
Prostep At Amarillo Facility NPI 1154718948

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Amarillo and Texas

10 active clinicians are listed under Specialist/Technologist - Speech-Language Assistant with a practice address in Amarillo, TX (3,432 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

License # reported to NPPES TX 0217267-01
Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

License # reported to NPPES TX 34253
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0217267-01 (TX)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jacob Stowe , OTR

Occupational Therapist

NPI 1891956223

Occupational Therapist Registered

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 25, 2018

Registered at 5507 SW 9TH AVENUE, AMARILLO, TX 79106 (Tel: 8064687611)

πŸ“
Updated Business Mailing Address July 25, 2018

Registered at 5507 SW 9TH AVENUE, AMARILLO, TX 79106 (Tel: 8064687611)

πŸ‘€
Provider Name / Credentials Updated July 25, 2018

Recorded as ANNA HAVENS BANNER, STA

βœ…
NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2008

Registered at 1901 MEDI PARK DR STE 65, AMARILLO, TX 791062105 (Tel: 8064687611)

πŸ“
Business Mailing Address (Initial Record) June 19, 2008

Registered at 1901 MEDI PARK DR STE 65, AMARILLO, TX 791062105 (Tel: 8064687611)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2008

Recorded as ANNA HAVENS, B.S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Specialist/Technologist (license number reported to NPPES: TX 34253)

🟒
Initial NPI Registration & Enumeration June 19, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063673374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2008
Last Update: July 25, 2018
Sole Proprietor: No

Mailing Address

5507 Sw 9th Avenue

Amarillo, TX 79106

Phone: 8064687611

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.