Individual provider Active NPI

Breanna Bobbit

  • Speech-Language Pathologist
  • Derby, KS
National Provider Identifier
1417657933
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5271 Issued in KS
Practice address
1415 N Buckner St
Derby, KS 67037-2929
Phone
(316) 399-4613
Fax
(316) 347-7939
NPI assigned
Mar 3, 2023
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 5271 KS Primary

Addresses

Primary practice location

1415 N Buckner St
Derby, KS 67037-2929

Mailing address

1415 N Buckner St
Derby, KS 67037-2929
Phone (316) 399-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104001903 KS Practitioner - Qualified Speech Language Pathologist 5991295404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 E Splitwood Way St
Derby, KS 67037-8784

1415 N Buckner St
Derby, KS 67037-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5271KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Talk and Move Therapy LLC Speech-Language Pathologist CurrentSince Sep 1, 2023 Accepting new patients

Locations

1415 N Buckner St
Derby, KS 67037
Phone (316) 399-4613

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1417657933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372929",
            "telephone_number": "316-399-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372929",
            "telephone_number": "316-399-4613",
            "fax_number": "316-347-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBIT",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "5271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.