Brenda Leigh Bardasian, MS, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU1653 Issued in CA

Practice address

11775 Education St
Suite 102
Auburn, CA 95602-2453

Phone

(530) 344-2000

Fax

(530) 344-2014

NPI assigned

Nov 10, 2008

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

Other names 1

• Miss Brenda Leigh Reichstein Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Placer Speech & Hearing Services of Auburn, Inc

  • Audiologist
  • Auburn, CA
  • NPI 1851321517
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1295989861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 EDUCATION ST",
            "address_2": "SUITE 102",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022453",
            "telephone_number": "530-344-2000",
            "fax_number": "530-344-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 EDUCATION ST",
            "address_2": "SUITE 102",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022453",
            "telephone_number": "530-344-2000",
            "fax_number": "530-344-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDASIAN",
        "first_name": "BRENDA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2120 Professional Dr",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956613700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "REICHSTEIN",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Audiologist in Auburn, CA
• Providers in Auburn, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.