Ginger Nanette Bartrug, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

20073 Issued in CA

Practice address

165 N Redwood Dr Ste 200
San Rafael, CA 94903-1971

Phone

(415) 479-7880

NPI assigned

Apr 6, 2017

Last updated

Apr 6, 2017By the provider in NPPES

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

Credentials

Master of Science

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.

• Walker Speech Therapy, Inc.

  dba Speech and Language Services of Marin-Sonoma

  • Speech-Language Pathologist
  • Petaluma, CA
  • NPI 1316404197
  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1184157166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NORTH REDWOOD DR. SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-479-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N REDWOOD DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031971",
            "telephone_number": "415-479-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTRUG",
        "first_name": "GINGER",
        "middle_name": "NANETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jazmin Barraza
• Jared Barrera
• Patricia Barret
• Emily Ann Barton, SUDRCI
• Justin Damian Barton Jr.
• Maryanne T Battaglino
• Paul Anthony Battaglino, DC
• Deborah Shoshana Bauer
• Wendi Baum
• Patricia M. Bauman, M.D.

• Speech-Language Pathologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.