Individual provider Active NPI

Brittney Deja Mair, SLPA

  • Speech-Language Assistant
  • Sugar Land, TX
National Provider Identifier
1689373425
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
42713 Issued in TX
Practice address
2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988
Phone
(281) 616-3839
Fax
(346) 299-5196
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 Assistant 2355S0801X 42713 TX Primary

Addresses

Primary practice location

2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988

Mailing address

1715 Enclave Pkwy Apt 13110
Houston, TX 77077-3762
Phone (210) 901-4426

Other identifiers 1

IdentifierTypeStateIssuer
TDLROtherTX42714

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

State licenses

LicenseStateTypeSpecialty
42713TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Confident Kids Therapy LLC Speech-Language Assistant CurrentSince Oct 13, 2024 Accepting new patients

Locations

2743 Imperia Dr
Ste 103
Sugar Land, TX 77479
Phone (281) 616-3839

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1689373425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 ENCLAVE PKWY APT 13110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773762",
            "telephone_number": "210-901-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIR",
        "first_name": "BRITTNEY",
        "middle_name": "DEJA",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "42714",
            "identifier": "TDLR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.