Individual provider Active NPI

Brooke Ashley Thomason, M.S. SLP

  • Speech-Language Pathologist
  • Norfolk, VA
National Provider Identifier
1114185824
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202005353 Issued in VA
Practice address
1005 Hampton Blvd
Norfolk, VA 23507-1505
Phone
(757) 623-5602
Fax
(757) 627-3805
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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 2202005353 VA Primary

Addresses

Primary practice location

1005 Hampton Blvd
Norfolk, VA 23507-1505

Mailing address

1005 Hampton Blvd
Norfolk, VA 23507-1505
Phone (757) 623-5602

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202005353VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1114185824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071505",
            "telephone_number": "757-623-5602",
            "fax_number": "757-627-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071505",
            "telephone_number": "757-623-5602",
            "fax_number": "757-627-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "BROOKE",
        "middle_name": "ASHLEY",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.