Active NPI
Brenna D Stamm
- Speech-Language Pathologist
- Owingsville, KY
National Provider Identifier
1316150089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1408
- Practice address
- 405 W Main St
Owingsville, KY 40360-2062 - Phone
- (606) 647-6314
- NPI assigned
- May 8, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1408 | KY | Primary |
Addresses
Primary practice location
405 W Main St
Owingsville, KY 40360-2062
Mailing address
PO Box 777
Owingsville, KY 40360-0777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1092442 | Other | KY | ASHA LICENSE |
| 3010 | Other | KY | ST CLAIRE SPEECH PATH |
| 00767 | Other | KY | FIRST STEPS SPEECH PATH |
| GN 108 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316150089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 777",
"city": "OWINGSVILLE",
"state": "KY",
"postal_code": "403600777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"city": "OWINGSVILLE",
"state": "KY",
"postal_code": "403602062",
"telephone_number": "606-647-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMM",
"first_name": "BRENNA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "1408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA LICENSE",
"identifier": "1092442",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST CLAIRE SPEECH PATH",
"identifier": "3010",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST STEPS SPEECH PATH",
"identifier": "00767",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GN 108",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owingsville, KY
- St Claire Regional Medical Center (St Claire Primary Care Bath Co PH)
- St. Claire Medical Center Dba Bath County Medical Clinic
- St. Claire Medical Center, Inc
- St. Claire Medical Center, Inc (St. Claire Regional Family Medicine-Owingsville)
- Kellie A Stafford, LSW
- Tammy Stamper, LCSW
- Sterling Health Solutions Inc (Sterling Health Owingsville Pharmacy)
- Sterling Health Solutions Inc (Sterling Crossroads - Bath)
- Sterling Health Solutions Inc
- Sterling Pharmacy Group, Inc. (Owingsville Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.