Individual provider Active NPI

Brianna Brown, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Palm Desert, CA
National Provider Identifier
1164818902
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP28490 Issued in CA
Practice address
41555 Cook St Ste 100
Palm Desert, CA 92211-5184
Phone
(760) 837-0033
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPI.SI.60498365 WA
Speech-Language Pathologist 235Z00000X SP28490 CA Primary

Addresses

Primary practice location

41555 Cook St Ste 100
Palm Desert, CA 92211-5184

Mailing address

2500 E Palm Canyon Dr Apt 90
Palm Springs, CA 92264-4881
Phone (360) 335-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518003442 OR Practitioner - Qualified Speech Language Pathologist 3072848357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

326 SW 7TH St
Redmond, OR 97756-2205
Phone (541) 316-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP28490CAMDSpeech-Language Pathologist
SLPI.SI.60498365WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Speech-Language Pathologist CurrentSince Oct 28, 2024 Accepting new patients
Easy Speech Therapy Center Speech-Language Pathologist PastSince Jun 18, 2019 Accepting new patients

Locations

44560 Ford Rd
Canton, MI 48187
Phone (734) 680-8780

7007 Dexter Ann Arbor Rd
Ste A
Dexter, MI 48130
Phone (734) 680-8800

7007 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 680-8800

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

11488 Telegraph Rd
Ste 1
Taylor, MI 48180
Phone (734) 680-8077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1164818902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PALM CANYON DR APT 90",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922644881",
            "telephone_number": "360-335-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41555 COOK ST STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115184",
            "telephone_number": "760-837-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRIANNA",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLPI.SI.60498365",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP28490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.