Active NPI
Loretta Ruth Brutz, BA MED MS
- Speech-Language Pathologist
- Ft Defiance, AZ
National Provider Identifier
1689899536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0032
- Practice address
- Wrusd #8 Navajo Route 12
Window Rock Unified School
Ft Defiance, AZ 86504 - Phone
- (928) 810-7740
- Fax
- (928) 729-7630
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP0032 | AZ | Primary |
Addresses
Primary practice location
Wrusd #8 Navajo Route 12
Window Rock Unified School
Ft Defiance, AZ 86504
Mailing address
PO Box 1923
Window Rock, AZ 86515
Phone (928) 871-5020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP0032 | Other | AZ | AZ DEPT OF HEALTH SERVICE |
| 649957 | Medicaid | AZ | |
| C 01005913 | Other | AMERICAN SPEECH LANGUAGE |
Other names 1
- Miss Loretta Ruth McClanahan
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
- Bachelor of Arts, Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0032 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689899536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1923",
"city": "WINDOW ROCK",
"state": "AZ",
"postal_code": "86515",
"telephone_number": "928-871-5020",
"fax_number": "928-871-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRUSD #8 NAVAJO ROUTE 12",
"address_2": "WINDOW ROCK UNIFIED SCHOOL",
"city": "FT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-810-7740",
"fax_number": "928-729-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTZ",
"first_name": "LORETTA",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "BA MED MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP0032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ DEPT OF HEALTH SERVICE",
"identifier": "SLP0032",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649957",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE",
"identifier": "C 01005913",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORETTA",
"last_name": "MCCLANAHAN",
"middle_name": "RUTH",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ft Defiance, AZ
Sources for this page
- 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.