Active NPI
Jennifer Beth Weidenbach Brandt, SLP
- Speech-Language Pathologist
- Vernon Hills, IL
National Provider Identifier
1104917442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146006614
- Practice address
- 929 Belle Isle LN
Vernon Hills, IL 60061-3234 - Phone
- (847) 624-1836
- NPI assigned
- Sep 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146006614 | IL | Primary |
Addresses
Primary practice location
929 Belle Isle LN
Vernon Hills, IL 60061-3234
Mailing address
929 Belle Isle LN
Vernon Hills, IL 60061-3234
Phone (847) 624-1836
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vybrence Communication & Consulting Innovations, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Barrington, IL
- NPI 1881309607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1104917442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 BELLE ISLE LN",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613234",
"telephone_number": "847-624-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 BELLE ISLE LN",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613234",
"telephone_number": "847-624-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDENBACH BRANDT",
"first_name": "JENNIFER",
"middle_name": "BETH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2023-01-16",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146006614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.