Active NPI
Brenda Beltran, MS
- Speech-Language Pathologist
- Vancouver, WA
National Provider Identifier
1366215550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61486357
- Practice address
- 2121 NE 139TH Street
Medical Office Building a, Suite 200
Vancouver, WA 98686 - Phone
- (360) 487-1777
- Fax
- (360) 487-1779
- NPI assigned
- Oct 31, 2023
- 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 | 61486357 | WA | Primary |
Addresses
Primary practice location
2121 NE 139TH Street
Medical Office Building a, Suite 200
Vancouver, WA 98686
Mailing address
2121 NE 139TH Street
Medical Office Building a, Suite 200
Vancouver, WA 98686
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 |
|---|---|---|---|
| 61486357 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1366215550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 NE 139TH STREET",
"address_2": "MEDICAL OFFICE BUILDING A, SUITE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NE 139TH STREET",
"address_2": "MEDICAL OFFICE BUILDING A, SUITE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98686",
"telephone_number": "360-487-1777",
"fax_number": "360-487-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "BRENDA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61486357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.