Individual provider Active NPI

Rebekah Branaman, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Rancho Cordova, CA
National Provider Identifier
1366094211
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26104 Issued in CA
Practice address
11151 Sun Center Dr Ste C
Rancho Cordova, CA 95670-6194
Phone
(916) 273-3389
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 26104 CA Primary

Addresses

Primary practice location

11151 Sun Center Dr Ste C
Rancho Cordova, CA 95670-6194

Mailing address

11151 Sun Center Dr Ste C
Rancho Cordova, CA 95670-6194
Phone (530) 301-1875

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

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1366094211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11151 SUN CENTER DR STE C",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706194",
            "telephone_number": "530-301-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11151 SUN CENTER DR STE C",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706194",
            "telephone_number": "916-273-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANAMAN",
        "first_name": "REBEKAH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.