Active NPI
Patricia Juanelle Brusseau, MS, CCC-SLP
- Speech-Language Pathologist
- Prudenville, MI
National Provider Identifier
1013342815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004288
- Practice address
- 209 Driftwood Cir
Prudenville, MI 48651-9405 - Phone
- (989) 948-2580
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 7101004288 | MI | Primary |
Addresses
Primary practice location
209 Driftwood Cir
Prudenville, MI 48651-9405
Mailing address
209 Driftwood Cir
Prudenville, MI 48651-9405
Phone (989) 948-2580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12655878 | Other | MI | CAQH |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101004288 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1013342815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 DRIFTWOOD CIR",
"city": "PRUDENVILLE",
"state": "MI",
"postal_code": "486519405",
"telephone_number": "989-948-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 DRIFTWOOD CIR",
"city": "PRUDENVILLE",
"state": "MI",
"postal_code": "486519405",
"telephone_number": "989-948-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSSEAU",
"first_name": "PATRICIA",
"middle_name": "JUANELLE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12655878",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prudenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.