Active NPI
Breanna Christine Sero, M.S., CCC-SLP, CBIS
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1144782913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 8350 Craig St
Indianapolis, IN 46250-3593 - Phone
- (317) 578-0410
- NPI assigned
- Apr 2, 2019
- 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 | Primary |
Addresses
Primary practice location
8350 Craig St
Indianapolis, IN 46250-3593
Mailing address
8350 Craig St
Indianapolis, IN 46250-3593
Other practice location 1
11901 Shelbyville Rd
Louisville, KY 40243-1040
Phone (502) 245-3774
Other names 1
- Breanna Christine Woods
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1144782913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 CRAIG ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462503593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 CRAIG ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462503593",
"telephone_number": "317-578-0410"
}
],
"practiceLocations": [
{
"address_1": "11901 Shelbyville Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402431040",
"country_code": "US",
"telephone_number": "502-245-3774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERO",
"first_name": "BREANNA",
"middle_name": "CHRISTINE",
"credential": "M.S., CCC-SLP, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNA",
"last_name": "WOODS",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.