Active NPI
Brooke Johnson Alexander, MS CF-SLP
- Pathology Specialist/Technologist
- Brentwood, CA
National Provider Identifier
1437634912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- 31961
- Practice address
- 8660 Brentwood Blvd
Brentwood, CA 94513-5655 - Phone
- (925) 626-7474
- NPI assigned
- Oct 1, 2018
- Last updated
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31961 | CA | MD | Pathology Specialist/Technologist |
| 6698 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Occupational Therapist
- North Charleston, SC
- NPI 1649634593
-
- Behavior Analyst
- Charleston, SC
- NPI 1982189718
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.