Individual provider Active NPI

Laurie Ross-Brennan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1710040373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
215 Issued in NM
Practice address
4210 Louisiana Blvd NE Ste a
Albuquerque, NM 87109-1807
Phone
(505) 268-5933
Fax
(505) 268-0184
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 215 NM Primary

Addresses

Primary practice location

4210 Louisiana Blvd NE Ste a
Albuquerque, NM 87109-1807

Mailing address

7412 Arroyo del Oso Ave NE
4210 Louisiana NE Suite a
Albuquerque, NM 87109-2927
Phone (505) 450-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121015000553 NM Practitioner - Qualified Speech Language Pathologist 2769632488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of New Mexico School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4811 Hardware Dr NE
Suite E 1
Albuquerque, NM 87109-2023

7412 Arroyo del Oso Neave
Albuquerque, NM 87109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
215NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Ross-Brennan & Associates PA Speech-Language Pathologist CurrentSince Aug 1, 2012 Accepting new patients

Locations

4811 Hardware Dr NE
Ste E-1
Albuquerque, NM 87109
Phone (505) 268-5933

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710040373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 ARROYO DEL OSO AVE NE",
            "address_2": "4210 LOUISIANA NE SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092927",
            "telephone_number": "505-450-2922",
            "fax_number": "505-268-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 LOUISIANA BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091807",
            "telephone_number": "505-268-5933",
            "fax_number": "505-268-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-BRENNAN",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.