Deedra A Branscum, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1654 Issued in AR

Practice address

2403 Marylane Dr
Rogers, AR 72756-6702

Phone

(479) 790-7979

Fax

(479) 631-8993

NPI assigned

May 14, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Regional Therapy Services, Inc.

  • Speech-Language Pathologist
  • Rogers, AR
  • NPI 1356313340
  NPD Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487860904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 MARYLANE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566702",
            "telephone_number": "479-790-7979",
            "fax_number": "479-631-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 MARYLANE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566702",
            "telephone_number": "479-790-7979",
            "fax_number": "479-631-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCUM",
        "first_name": "DEEDRA",
        "middle_name": "A",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W811",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Lane Bramlett, BCBA
• Vanessa Hardin Branch, M.D.
• Kristen Brandon, M.D.
• Emily Brandt
• Alisa Kay Branscum, APRN
• Donna K Brashear, ST
• Austin C. Brashers, CRNA
• Scott Bratton
• Abigail Mae Bray
• Breathe Well Dental Studio

• Speech-Language Pathologist in Rogers, AR
• Providers in Rogers, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.