Individual provider Active NPI

Brooke Johnson Alexander, MS CF-SLP

  • Pathology Specialist/Technologist
  • Brentwood, CA
National Provider Identifier
1437634912
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
31961 Issued in CA
Practice address
8660 Brentwood Blvd
Brentwood, CA 94513-5655
Phone
(925) 626-7474
NPI assigned
Oct 1, 2018
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 6698 SC
Pathology Specialist/Technologist 246Q00000X 31961 CA Primary

Addresses

Primary practice location

8660 Brentwood Blvd
Brentwood, CA 94513-5655

Mailing address

8660 Brentwood Blvd
Brentwood, CA 94513-5655
Phone (925) 626-7474

Other practice location 1

2070 Northbrook Blvd Ste B4
North Charleston, SC 29406-9254
Phone (843) 569-3033

Other names 1

  • Brooke Lynn Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@speechjungle.com Health Information Exchange (HIE) Speech Jungle LLC

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 Science

State licenses

LicenseStateTypeSpecialty
31961CAMDPathology Specialist/Technologist
6698SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Pediatric Rehabilitation Past Accepting new patients
Charleston Pediatric Rehabilitation LLC Past Accepting new patients

Organizations & group practices 2

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1437634912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135655",
            "telephone_number": "925-626-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135655",
            "telephone_number": "925-626-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Northbrook Blvd Ste B4",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069254",
            "country_code": "US",
            "telephone_number": "843-569-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BROOKE",
        "middle_name": "JOHNSON",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "6698",
            "primary": false
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "CA",
            "license": "31961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@speechjungle.com",
            "affiliation": "Y",
            "endpointDescription": "administration email",
            "affiliationName": "Speech Jungle LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8660 Brentwood Blvd",
            "city": "Brentwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945135655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "JOHNSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.