Temeka Fashawn Branch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102246 Issued in TX

Practice address

639 Alexander St
Grand Prairie, TX 75051-6007

Phone

(817) 773-3580

NPI assigned

Jul 12, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1598499816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 ALEXANDER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750516007",
            "telephone_number": "817-773-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 ALEXANDER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750516007",
            "telephone_number": "817-773-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "TEMEKA",
        "middle_name": "FASHAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "temeka.branch@gpisd.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "639 Alexander St",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750516007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maya Miko Botomani-Mposi, PA-C
• Zachary Q. Botone, MD
• Keana Bradley, LPC
• Patrick R Brady, D.D.S., M.S.
• Sharlene Brady
• Sharina Nicole Branum, LMSW
• Doreen E Brass, RN, IBCLC
• Bravo Dental
• Bravo Smiles
• Veda Breaux, NP

• Speech-Language Pathologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.