Individual provider Active NPI

Brenda Ivet Perez, SLP

  • Speech-Language Pathologist
  • Worthington, OH
National Provider Identifier
1396306452
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13471 Issued in OH
Practice address
7100 N High St Ste 203
Worthington, OH 43085-2392
Phone
(614) 505-7330
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 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 SP.13471 OH Primary

Addresses

Primary practice location

7100 N High St Ste 203
Worthington, OH 43085-2392

Mailing address

1034 Perry St
Columbus, OH 43201-3340
Phone (214) 663-8464

Other practice location 1

1120 N Memorial Dr
Lancaster, OH 43130-1748
Phone (740) 277-7882

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

State licenses

LicenseStateTypeSpecialty
SP.13471OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1396306452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 PERRY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013340",
            "telephone_number": "214-663-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 N HIGH ST STE 203",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852392",
            "telephone_number": "614-505-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431301748",
            "country_code": "US",
            "telephone_number": "740-277-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "BRENDA",
        "middle_name": "IVET",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

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