Brianna Isabel Bayardo
Individual provider Active NPI Speech-Language Pathologist · Los Lunas, NM
NPI 1457022949 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1457022949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- CF7502
- Practice address
- 454 Coronado St NE
Los Lunas, NM 87031-8709 - Phone
- (505) 866-0456
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CF7502 | Yes |
Addresses
Primary practice location
454 Coronado St NE
Los Lunas, NM 87031-8709
Mailing address
1804 Via del Sol NE
Albuquerque, NM 87110-4958
Phone (505) 500-5463
Other providers in Los Lunas, NM
- Arysleida Barraza-Gutierrez
- Melanie Rose Barreto
- Angelique Jocelyn Barron
- Berje Adele Barrow-Kaiser
- Nicole Andrea Bassett
- Jessica E Beard
- Linda L Beck
- Christine Beevers
- Christopher John Begay
- Behavioral Healthcare Services, Inc.
All providers in Los Lunas, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.