Individual provider Active NPI

Vanessa Ann Briner, MS, CCC-SLP

  • Speech-Language Pathologist
  • Malvern, AR
National Provider Identifier
1619029360
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2223 Issued in AR
Practice address
413 Bayne Rd
Malvern, AR 72104-6066
Phone
(501) 467-0541
Fax
(501) 429-2124
NPI assigned
Jan 16, 2007
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#2223 AR Primary

Addresses

Primary practice location

413 Bayne Rd
Malvern, AR 72104-6066

Mailing address

413 Bayne Rd
Malvern, AR 72104-6066
Phone (501) 467-0541

Other practice location 1

1807 W Moline St
Malvern, AR 72104-2645
Phone (501) 467-3166

Other identifiers 1

IdentifierTypeStateIssuer
156819721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP#2223ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
We Speak Therapy LLC Speech-Language Pathologist Current Accepting new patients
Vanessa Brinerllc Speech-Language Pathologist CurrentSince Jul 2, 2023 Accepting new patients

Locations

1807 W Moline St
Malvern, AR 72104
Phone (501) 467-0541

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1619029360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BAYNE RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046066",
            "telephone_number": "501-467-0541",
            "fax_number": "501-429-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BAYNE RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046066",
            "telephone_number": "501-467-0541",
            "fax_number": "501-429-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 W Moline St",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042645",
            "country_code": "US",
            "telephone_number": "501-467-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINER",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156819721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.