Makenna Jo Brester

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5412 83Rd St
Lubbock, TX 79424-3438

Phone

(402) 317-8412

NPI assigned

Jul 17, 2023

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1427454164

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1235818121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N 12TH ST",
            "city": "ARLINGTON",
            "state": "NE",
            "postal_code": "680023096",
            "telephone_number": "402-317-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 83RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243438",
            "telephone_number": "402-317-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESTER",
        "first_name": "MAKENNA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Cade Brawley, D.D.S.
• Breaking Barriers Counseling, PLLC
• Stephen Joseph Breaud, DDS,MSD
• Tom Breazeal
• Lee Anne Bremer, MS, CCC-SLP
• Brett Jungman DC PLLC
• Brewer Counseling, LLC
• Caleb Brewer, ATC
• Carrie M Brewer, BCBA, LBA
• Kelsey Brewer, MS, LPC, CCTP

• Speech-Language Pathologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.