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Active NPI 1063673374 Individual Practitioner Female Practitioner

Anna Michelle Havens Banner , STA

Specialist/Technologist - Speech-Language Assistant • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Anna Havens Banner, STA is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Amarillo, TX. Practice services are available at 5507 SW 9TH AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5507 Sw 9th Avenue

Amarillo, TX 79106

Telephone 8064687611
Fax 8064687603
Associated Practice Facility / Clinic
🏢 Progressive Step Corp Facility NPI 1164555173

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Amarillo, TX (3463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 0217267-01

Definition to come...

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License TX 34253

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0217267-01 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amber Gollihugh

Speech-Language Pathologist

NPI 1003252420
Dayna Rodriguez , COTA

Occupational Therapy Assistant

NPI 1013115211

Certified Occupational Therapy Assistant

Ryan Sanders , PT

Physical Therapist

NPI 1013137538

Physical Therapist

Stacie Conn , PTA

Physical Therapy Assistant

NPI 1023229291

Physical Therapist Assistant

Cheryl Ray , LCSW

Social Worker - Clinical

NPI 1023230059

Licensed Clinical Social Worker

Leslye Molamphy

Occupational Therapist

NPI 1063769149

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 25, 2018

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

📍
Updated Business Mailing Address July 25, 2018

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

👤
Provider Name / Credentials Updated July 25, 2018

Recorded as ANNA HAVENS BANNER, STA

✅
NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2008

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

📍
Updated Business Mailing Address June 19, 2008

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

👤
Provider Name / Credentials Updated June 19, 2008

Recorded as ANNA HAVENS, B.S

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

Specialist/Technologist (License #34253 in TX)

🟢
Initial NPI Registration & Enumeration June 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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
Update or Correct Profile

Mailing Address

5507 Sw 9th Avenue

Amarillo, TX 79106

Phone: 8064687611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.