Kendra L Brink, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1968 Issued in NE

Practice address

8031 W Center Rd Ste 300
Omaha, NE 68124-3134

Phone

(402) 391-5002

Fax

(402) 343-1278

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1689065054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243134",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243134",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "KENDRA",
        "middle_name": "L",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011796",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorota Brilz, M.D.
• Bringer of Light Counseling, LLC
• Abigail Brink
• Joel Michael Brink, MD
• Jordan M Brink, CRNA
• Breanna Marie Brinkman, PHARMD
• Brian David Brinkman, M.D.
• Ellen Marie Brinkman, APRN
• Tyler J. Brinkman, M.D.
• Elnora R Brinson

• Speech-Language Pathologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.