Brooke Owen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ8753 Issued in FL

Practice address

330 5TH St N
St Petersburg, FL 33701-2812

Phone

(727) 642-8802

NPI assigned

Oct 23, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1245602770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S # 449",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "727-642-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 5TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012812",
            "telephone_number": "727-642-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108502",
            "country_code": "US",
            "telephone_number": "877-823-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lynn Urichko Outlaw, PA-C
• Linda R. Outten, RPH
• Ovadia Medical Consulting Group LLC
• Philip Craig Ovadia, M.D.
• Gina Joanne Oviedo-Batt, MD
• Ethan Owens, MA
• Henry Owens, PA-C
• Lashawn Owens
• Lunique Owens
• Tamisha Owens

• Speech-Language Pathologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Speech-Language Pathologist in Florida

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