Individual provider Active NPI

Brenna Base, SLP

  • Speech-Language Pathologist
  • Lawton, OK
National Provider Identifier
1073303061
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
7102 NW Cache Rd
Lawton, OK 73505-2710
Phone
(580) 280-4651
Fax
(580) 280-4652
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

7102 NW Cache Rd
Lawton, OK 73505-2710

Mailing address

19713 Filly Dr
Edmond, OK 73012-3469
Phone (405) 248-7373

Other practice location 1

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 355-8620

Other names 1

  • Brenna Kay Nowell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000331 OK Practitioner - Qualified Speech Language Pathologist 7517470289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince Jun 3, 2025 Accepting new patients
Comanche County Hospital Authority CurrentSince Jun 3, 2025 Accepting new patients
Comanche County Healthcare Past Accepting new patients

Locations

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

7102 NW Cache Rd
Lawton, OK 73505
Phone (580) 280-4651

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1073303061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 FILLY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123469",
            "telephone_number": "405-248-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052710",
            "telephone_number": "580-280-4651",
            "fax_number": "580-280-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 W Gore Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735056332",
            "country_code": "US",
            "telephone_number": "580-355-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASE",
        "first_name": "BRENNA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "NOWELL",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.