Active NPI
Brinn Braton, CCC-SLP
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1487030367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1697
- Practice address
- 3060 Frontier Way S
Fargo, ND 58104 - Phone
- (701) 232-2340
- NPI assigned
- Aug 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111271 | TX | |
| Speech-Language Pathologist | 235Z00000X | 1697 | ND | Primary |
Addresses
Primary practice location
3060 Frontier Way S
Fargo, ND 58104
Mailing address
3060 Frontier Way S
Fargo, ND 58104-8909
Phone (701) 232-2340
Other practice location 1
6601 Montana Ave Ste G&h
El Paso, TX 79925-2155
Phone (915) 838-7604
Other names 1
- Brinn Richards
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190603002702 | ND | Practitioner - Qualified Speech Language Pathologist | 7113213141 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1697 | ND | MD | Speech-Language Pathologist |
| 111271 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Current | Accepting new patients |
Locations
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
3401 45th St S
#A
Fargo, ND 58104
Phone (701) 356-4384
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Fargo, ND
- NPI 1104426352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1487030367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 FRONTIER WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048909",
"telephone_number": "701-232-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 FRONTIER WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-232-2340"
}
],
"practiceLocations": [
{
"address_1": "6601 Montana Ave Ste G&h",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799252155",
"country_code": "US",
"telephone_number": "915-838-7604",
"fax_number": "915-772-4633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRATON",
"first_name": "BRINN",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111271",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRINN",
"last_name": "RICHARDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.