Brenda L Borst, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

208 Lakemont Park Blvd
Early Intervention
Altoona, PA 16602

Phone

(814) 944-8177

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Leigh Ellsworth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649334046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 CALIFORNIA AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021135",
            "telephone_number": "814-942-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LAKEMONT PARK BLVD",
            "address_2": "EARLY INTERVENTION",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-944-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "ELLSWORTH",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicoletta Marie Bonacci
• Sheena Renee Bookhammer, REGISTERED NURSE
• Carol Books, LPN
• Paige Boone
• Taylor Marie Boonie, LBS
• Jessica Bosak, LSW
• Stephanie Bosak
• Brooke Noelle Bosar, MT-BC
• Boscovs Department Store LLC
• Jacqueline Denise Bost, PTA

• Speech-Language Pathologist in Altoona, PA
• Providers in Altoona, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• 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.