Individual provider Active NPI

Brooke Cecile Buchanan, M.ED, SLP-CCC

  • Speech-Language Pathologist
  • Layton, UT
National Provider Identifier
1427534452
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7829925-4102 Issued in UT
Practice address
471 Heritage Park Blvd # 52444N
Layton, UT 84041-5712
Phone
(801) 217-3390
Fax
(844) 854-4658
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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 7829925-4102 UT Primary

Addresses

Primary practice location

471 Heritage Park Blvd # 52444N
Layton, UT 84041-5712

Mailing address

1716 E 7250 S
Ogden, UT 84405-4107
Phone (435) 770-6510

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
7829925-4102UTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1427534452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 E 7250 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054107",
            "telephone_number": "435-770-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HERITAGE PARK BLVD # 52444N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415712",
            "telephone_number": "801-217-3390",
            "fax_number": "844-854-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "BROOKE",
        "middle_name": "CECILE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "7829925-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.