Lauren Brenaman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#2964 Issued in AR

Practice address

213 W Monroe Ave
Ste C
Lowell, AR 72745-9451

Phone

(479) 871-9820

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Fees of Nwa

  • Speech-Language Pathologist
  • Fort Smith, AR
  • NPI 1275359788
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1124367826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 EMERALD ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458853",
            "telephone_number": "479-236-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MONROE AVE",
            "address_2": "STE C",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459451",
            "telephone_number": "479-871-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENAMAN",
        "first_name": "LAUREN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn G Blush
• Ryan Bolling
• Casey Vivian Lynn Bowers, RBT
• Heath Ray Bradley, LAC
• Gretchen E Brannon, FNP- BC
• Sarah Elizabeth Bright, CF-SLP
• Nai'a Anne Broyles, OTR/L
• Blake D Bryant, MD
• Robin Kirkpatrick Burch
• Traci Michelle Burleson, COTA

• Speech-Language Pathologist in Lowell, AR
• Providers in Lowell, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.