Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Moon Farrell, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1780490649

Anna Moon Farrell, MS, CCC-SLP is a Qualified Speech Language Pathologist in St Augustine, Florida. Qualified in 2016, 10 years ago. Practices with Saint Augustine Rehabilitation Specialists LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

105 Mariner Health Way Ste 213
St Augustine, FL 32086-3251
Phone: (904) 217-4259
Fax: (904) 217-4251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA15779 (FL)

Record details

NPI number1780490649
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Augustine Rehabilitation Specialists Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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