Individual provider Active NPI

Breanna Morris, MS CCC-SLP

  • Speech-Language Pathologist
  • Woodbridge, VA
National Provider Identifier
1740637057
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012611 Issued in PA
Practice address
15800 Neabsco Rd
Woodbridge, VA 22191-4505
Phone
(703) 670-8268
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 SL012611 PA Primary

Addresses

Primary practice location

15800 Neabsco Rd
Woodbridge, VA 22191-4505

Mailing address

11999 Coverstone Hill Cir Apt 611
Manassas, VA 20109-7519
Phone (570) 947-7973

Other practice location 1

325 Brentwood Dr
Apt D
York, PA 17403-4325
Phone (888) 531-2204

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1740637057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 COVERSTONE HILL CIR APT 611",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201097519",
            "telephone_number": "570-947-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 NEABSCO RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914505",
            "telephone_number": "703-670-8268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Brentwood Dr",
            "address_2": "Apt D",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034325",
            "country_code": "US",
            "telephone_number": "888-531-2204",
            "fax_number": "855-232-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "BREANNA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.