Brianne R Banks, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

859 S Yellowstone Hwy
Rexburg, ID 83440-5293

Phone

(208) 356-7643

NPI assigned

Jun 22, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1659997138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 GLENEAGLES DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016301",
            "telephone_number": "208-709-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405293",
            "telephone_number": "208-356-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "BRIANNE",
        "middle_name": "R",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Gerald Bagley, P.A. - CERTIFIED
• Kendra Lyn Bagshaw, LCPC
• Jorie Bailey
• Ashleigh Ball, PTA
• Brittney Ball
• Christopher Joseph Banta, BA PSYCHOLOGY
• Laura Anne Barcelo, PA-C
• William David Barker
• Liam Barnard, LMSW
• Jessica Christine Barnes, PA-C

• All providers in Rexburg, ID
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.