Active NPI
Brooklynn Kay Pinkham
- Speech-Language Assistant
- Fort Worth, TX
National Provider Identifier
1275033813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 38481
- Practice address
- 2400 Westport Pkwy Ste 1300
Fort Worth, TX 76177-5316 - Phone
- (817) 773-6841
- NPI assigned
- Feb 20, 2018
- 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 Assistant | 2355S0801X | 38481 | TX | Primary |
Addresses
Primary practice location
2400 Westport Pkwy Ste 1300
Fort Worth, TX 76177-5316
Mailing address
401 Northwest Hwy Apt 1108
Irving, TX 75039-3682
Phone (903) 280-8383
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 |
|---|---|---|---|
| 38481 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1275033813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NORTHWEST HWY APT 1108",
"city": "IRVING",
"state": "TX",
"postal_code": "750393682",
"telephone_number": "903-280-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WESTPORT PKWY STE 1300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761775316",
"telephone_number": "817-773-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKHAM",
"first_name": "BROOKLYNN",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "38481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.