Branch Out NC, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

BRANCH OUT NC, LLC

Doing business as

Branch Out Speech Therapy

Practice address

1802 Guess Rd
Durham, NC 27705-3333

Phone

(561) 876-2047

NPI assigned

Oct 27, 2021

Organization subpart

No

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

Authorized official

Name

Lena R Wedeen, MS, CCC-SLP

Title

Manager

Phone

(561) 876-2047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Branch Out Speech Therapy Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lena Santacaterina, MS CCC-SLP

  • Speech-Language Pathologist
  • Northglenn, CO
  • NPI 1225628365
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1386308112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053333",
            "telephone_number": "561-876-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053333",
            "telephone_number": "561-876-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH OUT NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "WEDEEN",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-876-2047",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15066848",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lena-wedeen.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 Guess Rd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277053333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Branch Out Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Margaret Brake, LPC
• Morgan Bralley
• Alexa Natalie Bramall, PH.D.M.D.
• Megan Tabatha Brame, P.A.
• Leo Brancazio, M.D.
• Adrienne Liana Branch, AGACNP-BC
• Alisa Mashanda Branch, LCMHC
• Malcolm S. Branch, MD
• Mark Branch III, M. D.
• Branching Out

• Hearing and Speech Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Hearing and Speech Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.