Active NPI
Laura Christine Bryner, SLPA
- Speech-Language Assistant
- El Mirage, AZ
National Provider Identifier
1104164052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA8161
- Practice address
- 12950 W Varney Rd
El Mirage, AZ 85335-3184 - Phone
- (623) 876-7100
- NPI assigned
- Jan 28, 2013
- 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 Assistant | 2355S0801X | SLPA8161 | AZ | Primary |
Addresses
Primary practice location
12950 W Varney Rd
El Mirage, AZ 85335-3184
Mailing address
17219 N 184TH Dr
Surprise, AZ 85374-3966
Phone (928) 252-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLPA8161 | Other | AZ | SLPA LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA8161 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1104164052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17219 N 184TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743966",
"telephone_number": "928-252-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12950 W VARNEY RD",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853353184",
"telephone_number": "623-876-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYNER",
"first_name": "LAURA",
"middle_name": "CHRISTINE",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA8161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLPA LICENSE",
"identifier": "SLPA8161",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Mirage, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.