Kanada Brelane White, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115848 Issued in TX

Practice address

5214 Thomason Dr
Midland, TX 79703-6000

Phone

(432) 699-1261

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kanada Brelane King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1467007138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BURGANDY DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054485",
            "telephone_number": "432-634-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 THOMASON DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036000",
            "telephone_number": "432-699-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KANADA",
        "middle_name": "BRELANE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANADA",
            "last_name": "KING",
            "middle_name": "BRELANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Jean Dawn White, PA-C
• Ashlea White, LCDC, NCACI
• Dianna Kay White, RN
• Jason Mondale White, LPC-A
• Kaitlynn Alexis White
• Kristina Hope White, M.S., CCC-SLP
• Leslie Ann Whitehead, MS, CCC-SLP
• Kristian Nicole Whitley, FNP-C
• Joan H Whitt, LPC
• Ericka Whittaker, DNAP CRNA

• Speech-Language Pathologist in Midland, TX
• Providers in Midland, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.