Individual provider Active NPI

Brittany Noelle Vinson, SLP

  • Speech-Language Pathologist
  • Sierra Vista, AZ
National Provider Identifier
1205240306
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP10544 Issued in AZ
Practice address
200 E Wilcox Dr
Sierra Vista, AZ 85635-2526
Phone
(520) 459-8258
NPI assigned
Jun 17, 2014
Last updated
Apr 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP10544 AZ Primary

Addresses

Primary practice location

200 E Wilcox Dr
Sierra Vista, AZ 85635-2526

Mailing address

2281 Orchid Dr
Sierra Vista, AZ 85635-6419
Phone (520) 234-0836

Other practice location 1

1220 Laguna St
Kokomo, IN 46902-2330
Phone (765) 454-5340

Other names 1

  • Brittany Noelle McAdams, Moore Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP10544AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Speech & Language Therapy LLC Speech-Language Pathologist PastSince Apr 3, 2021 Accepting new patients
Rainey Pain & Performance, P.C. PastSince Jun 2, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1205240306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 ORCHID DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356419",
            "telephone_number": "520-234-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352526",
            "telephone_number": "520-459-8258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Laguna St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022330",
            "country_code": "US",
            "telephone_number": "765-454-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINSON",
        "first_name": "BRITTANY",
        "middle_name": "NOELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "MCADAMS, MOORE",
            "middle_name": "NOELLE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.