Active NPI
Brandy Walcott
- Speech-Language Pathologist
- Lumberton, TX
National Provider Identifier
1114302171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 112221
- Practice address
- 115 S LHS Dr Apt 229
Lumberton, TX 77657-8749 - Phone
- (409) 221-1726
- NPI assigned
- Jul 20, 2015
- 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 | 112221 | TX | Primary |
Addresses
Primary practice location
115 S LHS Dr Apt 229
Lumberton, TX 77657-8749
Mailing address
115 S LHS Dr Apt 229
Lumberton, TX 77657-8749
Phone (409) 221-1726
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 |
|---|---|---|---|
| 112221 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622851200000",
"number": "1114302171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S LHS DR APT 229",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776578749",
"telephone_number": "409-221-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S LHS DR APT 229",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776578749",
"telephone_number": "409-221-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALCOTT",
"first_name": "BRANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2021-06-05",
"certification_date": "2021-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "112221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, TX
- Marciana Castillo Tyler, MSN AGNP-C
- Godwin Chukwuemeka Umejiaku, R.PH.
- Village Creek Emergency Physicians PLLC
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0384)
- Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-0384)
- Walgreen Co (Walgreens #07614)
- Brad L Walker, D.C.
- Staci Dee Walker, M.S., CCC-SLP
- West Hardin Independent School District
- Shaelyn K Whatley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.