Mackenzie Laurel Brown

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30003085 Issued in NC

Practice address

4501 Main St Ste 5
Shallotte, NC 28470-4585

Phone

(910) 612-1002

Fax

(910) 755-5865

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Rehabilitation Inc

  dba Brunswick P.T. Associates, Edwards & Associates P.T.

  • Physical Therapist
  • Supply, NC
  • NPI 1427142561
  NPD
• Thomas Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Supply, NC
  • NPI 1871860544
  NPD

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1740099290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 WOODBURY CT SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228685",
            "telephone_number": "910-612-1002",
            "fax_number": "910-755-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAIN ST STE 5",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704585",
            "telephone_number": "910-612-1002",
            "fax_number": "910-755-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medical Campus Dr NW Ste 204",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624094",
            "country_code": "US",
            "telephone_number": "910-612-1002",
            "fax_number": "910-755-5865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 Southport Supply Rd SE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284619273",
            "country_code": "US",
            "telephone_number": "910-612-1002",
            "fax_number": "910-755-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MACKENZIE",
        "middle_name": "LAUREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks & Associates Youth and Family Services, LL
• Brooks & Associates Youth Services, LLC (B&A Youth Services, LLC)
• Alexis Brooks, LCSWA, LCAS-A
• Cindy J Brown
• Lauren Moriah Brown
• Brunswick Academy of Total Learning
• Brunswick Community LLC (Coastal Pointe)
• Brunswick Gericare
• Kimberly Sue Ellen Bullard, FNP-BC
• Tanya Faye Bush, APRN

• Speech-Language Pathologist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.