NPIMap

Organization Active NPI

Brooke Wyatt Speech Pathology, PLLC

  • Speech-Language Pathologist
  • Frisco, TX
National Provider Identifier
1720499544
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104353 Issued in TX
Legal business name
BROOKE WYATT SPEECH PATHOLOGY, PLLC
Practice address
1123 Chestnut Dr
Frisco, TX 75034-3932
Phone
(501) 590-5940
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Brooke WyattNPI 1972915031
Title
Speech Language Pathologist
Phone
(501) 590-5940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 104353 TX Primary

Addresses

Primary practice location

1123 Chestnut Dr
Frisco, TX 75034-3932

Mailing address

1123 Chestnut Dr
Frisco, TX 75034-3932

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1720499544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CHESTNUT DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CHESTNUT DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343932",
            "telephone_number": "501-590-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE WYATT SPEECH PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "501-590-5940"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.