Active NPI
Cheryl Annette Branscum, M.A., CCC-SLP
- Speech-Language Pathologist
- Bay Minette, AL
National Provider Identifier
1104908920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3661
- Practice address
- 2115 Hand Ave
Bay Minette, AL 36507-4149 - Phone
- (251) 937-2823
- Fax
- (251) 937-2821
- NPI assigned
- Oct 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#1342 | AR | |
| Speech-Language Pathologist | 235Z00000X | 3661 | AL | Primary |
Addresses
Primary practice location
2115 Hand Ave
Bay Minette, AL 36507-4149
Mailing address
8839 Bainbridge Dr
Daphne, AL 36526-8331
Phone (501) 733-5270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141346721 | Medicaid | AR |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3661 | AL | MD | Endodontist |
| SP#1342 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1104908920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8839 BAINBRIDGE DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268331",
"telephone_number": "501-733-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 HAND AVE",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365074149",
"telephone_number": "251-937-2823",
"fax_number": "251-937-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSCUM",
"first_name": "CHERYL",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#1342",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141346721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Minette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.