Active NPI
Lindsey Brendel, CCC-SLP/L
- Speech-Language Pathologist
- Ridgway, PA
National Provider Identifier
1235489196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL 011064
- Practice address
- 225 South St
Ridgway, PA 15853-2033 - Phone
- (814) 772-6850
- NPI assigned
- Sep 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL 011064 | PA | Primary |
Addresses
Primary practice location
225 South St
Ridgway, PA 15853-2033
Mailing address
250 W Main St
Ridgway, PA 15853-1611
Phone (814) 772-6850
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL 011064 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1235489196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W MAIN ST",
"city": "RIDGWAY",
"state": "PA",
"postal_code": "158531611",
"telephone_number": "814-772-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SOUTH ST",
"city": "RIDGWAY",
"state": "PA",
"postal_code": "158532033",
"telephone_number": "814-772-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENDEL",
"first_name": "LINDSEY",
"credential": "CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL 011064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgway, PA
- Netra G Baker, RN
- Charles P Bender, DC
- Patricia Ann Blazek, RPH
- Alex Brazinski, L.AC.
- Emily Rae Brazinski, CRNP
- Patricia R Brendel, RN
- Catherine Rose Brigger, CRNP
- Rebecca Burkert-Smith, PHARMD.
- Cameron Elk Counties Behavioral and Developmental Programs
- Cameron Elk Counties Behavioral and Developmental Programs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.