Tammy A Brueske, SPEECH PATHOLOGIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 00003872 Issued in WA

Practice address

4233 113TH Ave SW
Olympia, WA 98512-9246

Phone

(360) 359-1017

Fax

(360) 915-8360

NPI assigned

Nov 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1407191737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 113TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129246",
            "telephone_number": "360-359-1017",
            "fax_number": "360-915-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 113TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129246",
            "telephone_number": "360-359-1017",
            "fax_number": "360-915-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUESKE",
        "first_name": "TAMMY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00003872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Nicole Brown, BA, CPC
• Sheila B Brown, M.D.
• Susan Kay Brown
• Michelle Brownlee, PEER RECOVERY COACH
• Sarah Brownstein, DPT
• Conrad Bruns
• Bryan Morris-Ward MD PLLC
• Joanna Bryan, MS, LMHCA
• Mark William Bryan, D.C.
• Mollie Bryan, LMP

• Speech-Language Pathologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.