Brooke Alydia Plaster

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

212542 Issued in AK

Practice address

11723 Old Glenn Hwy Ste 206
Eagle River, AK 99577

Phone

(907) 301-4588

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

No

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)

Not enrolled

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 and National Provider Directory roles.

• Reading Write Alaska Inc

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1376849133
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1174302368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 ILLIAMNA AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171218",
            "telephone_number": "907-350-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 206",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-301-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "BROOKE",
        "middle_name": "ALYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "212542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Phillips, LMT
• Vanessa Pickens, OTR/L
• Lisa A Pierimarchi, R.PH.
• Daniel Pinkerton, LPC
• Anthony Edward Piper
• Playful Learning Pediatric Therapy, LLC
• Mark A Plunkett, OTR/L, LPTA, CHT
• Diane Poage, M.S. CCC-SLP/A
• Levi Marc Porter, O.D.
• Naysa Leigh Poshusta, D.V.M.

• Speech-Language Pathologist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.