Breanna June Bailey, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1201 Cornwall Ave Ste 201
Bellingham, WA 98225-5051

Phone

(360) 734-5121

NPI assigned

Oct 28, 2015

Last updated

Jan 19, 2024By the provider in NPPES

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

• Breanna June Earnest Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• The Opportunity Council

  • Early Intervention Provider Agency
  • Bellingham, WA
  • NPI 1801117080
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1467824557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CORNWALL AVE STE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255039",
            "telephone_number": "360-734-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CORNWALL AVE STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255051",
            "telephone_number": "360-734-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BREANNA",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "EARNEST",
            "middle_name": "JUNE",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zoie Baer, DPT, OT
• Armando Corpin Bagara, PT
• Tim Baglio, LEAMP
• Victor C Bahzad
• Alison Bailey
• J Chalice Bailey, MA, LMFT
• Sadie Dawn Bailey
• Tanesha Bailey
• Wendy Bailey
• Sara Gaby Bailon Mello

• Speech-Language Pathologist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.