Active NPI
Brooke Elizabeth Crenshaw, M.S., CCC-SLP
- Speech-Language Pathologist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-008493
- Practice address
- 1508 2ND Ave SW
Rochester, MN 55902-2114 - Phone
- (312) 513-5120
- NPI assigned
- Oct 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146-008493 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 8885 | MN |
Addresses
Primary practice location
1508 2ND Ave SW
Rochester, MN 55902-2114
Mailing address
1508 2ND Ave SW
Rochester, MN 55902-2114
Phone (312) 513-5120
Other names 1
- Brooke Elizabeth Carroll
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 S College Ave
Suite 102
Newark, DE 19713-1302
Phone (302) 831-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-008493 | IL | MD | Speech-Language Pathologist |
| 8885 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ud Health LLC | Current | Accepting new patients | |
| Ud Health LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ud Health LLC | Current | Accepting new patients |
Locations
540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000
540 S College Ave
Ste 102
Newark, DE 19713
Phone (302) 831-7100
540 S College Ave
Ste 130
Newark, DE 19713
Phone (302) 831-3195
100 Discovery Blvd
Ste 727
Newark, DE 19713
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- brooke.crenshaw.p1@direct.udel.nextgenshare.com
Organizations & group practices 3
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.
-
- Health Educator
- Newark, DE
- NPI 1588382535
-
- Clinical Psychologist
- Newark, DE
- NPI 1821989856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1306098660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 2ND AVE SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022114",
"telephone_number": "312-513-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 2ND AVE SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022114",
"telephone_number": "312-513-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-008493",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "CARROLL",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.