Individual provider Active NPI

Jean Louise Brannman, MED, MS, CCC-SLP

  • Speech-Language Pathologist
  • Alexandria, VA
National Provider Identifier
1215626239
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010815 Issued in VA
Practice address
1609 Fort Hunt CT
Alexandria, VA 22307-1915
Phone
(619) 309-5855
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2202010815 VA Primary

Addresses

Primary practice location

1609 Fort Hunt CT
Alexandria, VA 22307-1915

Mailing address

1609 Fort Hunt CT
Alexandria, VA 22307-1915
Phone (619) 309-5855

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
2202010815VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1215626239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 FORT HUNT CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071915",
            "telephone_number": "619-309-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 FORT HUNT CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071915",
            "telephone_number": "619-309-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNMAN",
        "first_name": "JEAN",
        "middle_name": "LOUISE",
        "credential": "MED, MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.