Brenda Macmillian

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

138438 Issued in KY

Practice address

1311 Herr LN Ste 205
Louisville, KY 40222-4384

Phone

(502) 419-7811

NPI assigned

Dec 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Solutions PLLC

  dba Mind Body Child

  • Occupational Therapist
  • Louisville, KY
  • NPI 1831068303

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1487169132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 HERR LN STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224384",
            "telephone_number": "502-419-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 HERR LN STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224384",
            "telephone_number": "502-419-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLIAN",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "138438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver James Mackie, MS
• Titerriell Macklin
• Jennifer Youngberg Mackowiak
• Taney Macleod, COTA/L
• Abbey Kennedy Macmillan, M.S. CCC-SLP
• Janet Macphee, ARNP, MSN
• Brian Edward Macy, APRN
• Caitlin Macy
• Erin D Macy, APRN
• Mary Jurate Macys, PHD

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.