NPIMap

Individual provider Active NPI

Jayne Michelle Brandel, CCC-SLP

  • Speech-Language Pathologist
  • Morgantown, WV
National Provider Identifier
1215169230
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1738 Issued in WV
Practice address
355 Oakland St.
805 Allen Hall
Morgantown, WV 26506-6122
Phone
(304) 293-2377
Fax
(304) 293-2905
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 2210 KS
Speech-Language Pathologist 235Z00000X 1738 WV Primary

Addresses

Primary practice location

355 Oakland St.
805 Allen Hall
Morgantown, WV 26506-6122

Mailing address

PO Box 6122
355 Oakland St.
Morgantown, WV 26506-6122
Phone (304) 293-2377

Other identifiers 1

IdentifierTypeStateIssuer
09145096OtherASHA CERTIFICATION

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

State licenses

LicenseStateTypeSpecialty
2210KSMDRegistered Dietitian
1738WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Speech-Language Pathologist Past Accepting new patients
Fort Hays State University Speech-Language Pathologist PastSince Oct 1, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbrandel315650@direct.wvuhsdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1215169230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6122",
            "address_2": "355 OAKLAND ST.",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066122",
            "telephone_number": "304-293-2377",
            "fax_number": "304-293-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OAKLAND ST.",
            "address_2": "805 ALLEN HALL",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066122",
            "telephone_number": "304-293-2377",
            "fax_number": "304-293-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDEL",
        "first_name": "JAYNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Prof.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2210",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "09145096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.