Individual provider Active NPI

Christi Ann Brannon, MA, CCC-SLP

  • Speech-Language Pathologist
  • Panama City Beach, FL
National Provider Identifier
1467093773
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10344 Issued in FL
Practice address
166 Rusty Gans Dr
Panama City Beach, FL 32408-4510
Phone
(989) 619-2319
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 SA10344 FL Primary

Addresses

Primary practice location

166 Rusty Gans Dr
Panama City Beach, FL 32408-4510

Mailing address

3801 E Highway 98 Ste 100
Port St Joe, FL 32456-5318
Phone (850) 229-5752

Other practice location 1

76 Market St Ste D
Apalachicola, FL 32320-2709
Phone (850) 370-1780

Other practice location 2

3801 E Highway 98 Ste 100
Port St Joe, FL 32456-5318
Phone (850) 229-5752 ext. 8558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Christi.Brannon@ascension.org

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 Arts

State licenses

LicenseStateTypeSpecialty
SA10344FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christi.brannon@ascension.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1467093773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E HIGHWAY 98 STE 100",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324565318",
            "telephone_number": "850-229-5752",
            "fax_number": "850-229-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 RUSTY GANS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324084510",
            "telephone_number": "989-619-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Market St Ste D",
            "address_purpose": "LOCATION",
            "city": "Apalachicola",
            "state": "FL",
            "postal_code": "323202709",
            "country_code": "US",
            "telephone_number": "850-370-1780",
            "fax_number": "850-370-1781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 E Highway 98 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port St Joe",
            "state": "FL",
            "postal_code": "324565318",
            "country_code": "US",
            "telephone_number": "850-229-5752 x8558",
            "fax_number": "850-229-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "CHRISTI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christi.Brannon@ascension.org",
            "affiliation": "N",
            "address_1": "3801 E Highway 98 Ste 100",
            "city": "Port St Joe",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324565318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.