Active NPI
Brenda Michele' McDonald, MS CCC-SLP
- Speech-Language Pathologist
- Rockport, TX
National Provider Identifier
1013252808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17840
- Practice address
- 71 Nassau Dr Apt 403
Rockport, TX 78382-3754 - Phone
- (361) 463-6357
- NPI assigned
- Dec 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17840 | TX | Primary |
Addresses
Primary practice location
71 Nassau Dr Apt 403
Rockport, TX 78382-3754
Mailing address
71 Nassau Dr Apt 403
Rockport, TX 78382-3754
Phone (361) 463-6357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17840 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1013252808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 NASSAU DR APT 403",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823754",
"telephone_number": "361-463-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 NASSAU DR APT 403",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823754",
"telephone_number": "361-463-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "BRENDA",
"middle_name": "MICHELE'",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "17840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockport, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.