Kathleen Mitchell-Anderson, M.S. ED, CCC-SLP
NPI 1114476181 · Speech-Language Pathologist · Jacksonville, FL
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathleen Mitchell-Anderson, M.S. ED, CCC-SLP is a Speech-Language Pathologist provider in Jacksonville, FL (NPI 1114476181).
Provider details
- NPI number
- 1114476181
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. ED, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SA8759 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3533 Carolwood LnSaint Augustine, FL 32086-4320Phone: (904) 315-8525
Registry dates
- Enumerated
- 2016-09-30
- Last updated
- 2020-10-12
- Certified
- 2020-10-12
Frequently asked questions
- What is Kathleen Mitchell-Anderson's NPI number?
- Kathleen Mitchell-Anderson's National Provider Identifier (NPI) is 1114476181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Mitchell-Anderson's specialty?
- Kathleen Mitchell-Anderson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kathleen Mitchell-Anderson located?
- Kathleen Mitchell-Anderson's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224.
- What is Kathleen Mitchell-Anderson's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Mitchell-Anderson is (904) 953-2000.
- Does Kathleen Mitchell-Anderson accept Medicare?
- Kathleen Mitchell-Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathleen Mitchell-Anderson's NPI active?
- Yes — Kathleen Mitchell-Anderson's NPI (1114476181) is active in the NPPES registry as of the last update on 2020-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.