Active NPI
Sally Anne Brennan
- Speech-Language Pathologist
- Buffalo, NY
National Provider Identifier
1720382070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011997-1
- Practice address
- 212 Stanton St
Buffalo, NY 14212-1128 - Phone
- (716) 816-3780
- NPI assigned
- Dec 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 011997-1 | NY | Primary |
Addresses
Primary practice location
212 Stanton St
Buffalo, NY 14212-1128
Mailing address
75 The Meadow
East Aurora, NY 14052
UM
Phone (716) 655-0312
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011997-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1720382070",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "75 THE MEADOW",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "14052",
"telephone_number": "716-655-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 STANTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142121128",
"telephone_number": "716-816-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "SALLY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-30",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011997-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.