Active NPI
Brooke Futch Sanderlin
- Speech-Language Pathologist
- Winnsboro, LA
National Provider Identifier
1477188258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7532
- Practice address
- 3326 Front St Ste B
Winnsboro, LA 71295-6418 - Phone
- (318) 435-7333
- NPI assigned
- Mar 11, 2020
- Last updated
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7532 | LA | Primary |
Addresses
Primary practice location
3326 Front St Ste B
Winnsboro, LA 71295-6418
Mailing address
135 Carriage Hills Dr
West Monroe, LA 71291-3802
Phone (318) 372-4015
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7532 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1477188258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CARRIAGE HILLS DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913802",
"telephone_number": "318-372-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 FRONT ST STE B",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712956418",
"telephone_number": "318-435-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERLIN",
"first_name": "BROOKE",
"middle_name": "FUTCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "7532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnsboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.