Destanee Alexis Brennin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7 High St
Huntington, NY 11743-7605

Phone

(631) 423-7700

NPI assigned

Sep 22, 2020

Reactivated

Oct 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1487260634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 BIRCH HOLLOW DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HIGH ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437605",
            "telephone_number": "631-423-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNIN",
        "first_name": "DESTANEE",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "deactivation_date": "2020-09-26",
        "reactivation_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan Brey, DPM PODIATRY
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• Kasey Brohan

• Speech-Language Pathologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.