Daja A Brison, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

101 E W T Harris Blvd Ste 5001
Charlotte, NC 28262-3574

Phone

(704) 863-5780

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1407416639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E W T HARRIS BLVD STE 5001",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E W T HARRIS BLVD STE 5001",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623574",
            "telephone_number": "704-863-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISON",
        "first_name": "DAJA",
        "middle_name": "A",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrison@empowermewellness.com",
            "affiliation": "N",
            "address_1": "1800 1st Capitol Dr",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633011646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daja.brison@atriumhealth.org",
            "affiliation": "N",
            "address_1": "101 E W T Harris Blvd Ste 5001",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shakia Danielle Brisbon Steele, LCMHC
• Wanda Brisco, CSAC
• Amber Jada Andrea Briscoe
• Kayla Briscoe, MOT, OTR/L
• Christie Elizabeth Belle Briskey, OTR/L
• Nicole Brito, LCMHCA
• Jeremy Britt-Villanueva, PMHNP
• James M Brittain, DMD
• Janice Griffis Brittain, MED LPC
• Brittany Madison, LLC

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.