Adriana Brewer, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18480 Issued in FL

Practice address

5306 Lenoir CT
Plant City, FL 33566-8093

Phone

(813) 719-0130

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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.

• Superior Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Dover, FL
  • NPI 1437744513
  NPD Authorized official
• Superior Speech Therapy Services, LLC

  • Developmental Therapist
  • Dover, FL
  • NPI 1528719515
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1518534643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 LENOIR CT",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335668093",
            "telephone_number": "813-719-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 LENOIR CT",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335668093",
            "telephone_number": "813-719-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110673600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "endpointDescription": "CONNECT URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5306 Lenoir Ct",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335668093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wendi A Boswell-Schulte, PTA
• Salvador Angel Bou-Gauthier, MD
• Kimberly Boully, PT
• Kimberly Lynn Boyett, D.D.S
• Stacey Breuggeman, PHARMD
• Dalia Brito
• Tijay Broadnax, APD PROVIDER
• Brenda Kay Brogdon, ARNP
• Danielle Brown
• Destiny Terriona Brown

• Speech-Language Pathologist in Plant City, FL
• Providers in Plant City, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.