Individual provider Active NPI

Brooke Elizabeth Crenshaw, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rochester, MN
National Provider Identifier
1306098660
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-008493 Issued in IL
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

Updated by the provider on Jul 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707003889 DE Practitioner - Qualified Speech Language Pathologist 3173037702 Reassigns benefits to 1 organization

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
Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

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

LicenseStateTypeSpecialty
146-008493ILMDSpeech-Language Pathologist
8885MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ud Health LLC CurrentSince Apr 27, 2025 Accepting new patients
Ud Health LLC Speech-Language Pathologist Current Accepting new patients
Ud Health LLC CurrentSince Apr 27, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.