Brenda Basil, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

968 Issued in NM

Practice address

3530 Pan American Fwy NE Ste D
Albuquerque, NM 87107-4793

Phone

(505) 888-4469

Fax

(505) 889-8142

NPI assigned

Nov 16, 2006

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Kidpower Therapy Associates

  • Specialist
  • Albuquerque, NM
  • NPI 1700997863
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720151780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ALGODONES ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123401",
            "telephone_number": "505-888-4469",
            "fax_number": "505-889-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 PAN AMERICAN FWY NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074793",
            "telephone_number": "505-888-4469",
            "fax_number": "505-889-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIL",
        "first_name": "BRENDA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Jane Basey
• Heather Lynn Basham, PHARMD
• Keith Emory Basham, PHYSICIAN ASSISTANT
• Ali Salah Hussien Bashir
• Eesha Salman Bashir, M.D.
• Michael Basil
• Jeanne Cecile Basile, RPH, PHC
• Crystal Baska
• Harold F. Baskin, M.D.
• Jonathan Baskin

• All providers in Albuquerque, NM
• Speech-Language Pathologist in New Mexico

• 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.

Verify at the official NPI Registry.