Active NPI
Lucia Brandt, M.S.
- Speech-Language Pathologist
- Spokane, WA
National Provider Identifier
1306296108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60676408
- Practice address
- 811 W 2ND Ave
Suite 207
Spokane, WA 99201-4402 - Phone
- (509) 939-2941
- NPI assigned
- Jun 13, 2016
- 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 Pathologist | 235Z00000X | LL60676408 | WA | Primary |
Addresses
Primary practice location
811 W 2ND Ave
Suite 207
Spokane, WA 99201-4402
Mailing address
1616 E Bismark Ave
Spokane, WA 99208-2811
Phone (509) 990-3922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7441017 | Medicaid | WA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60676408 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1306296108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 E BISMARK AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992082811",
"telephone_number": "509-990-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 W 2ND AVE",
"address_2": "SUITE 207",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014402",
"telephone_number": "509-939-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "LUCIA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60676408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7441017",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.