Elizabeth Brumbaugh, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

518233 Issued in MN

Practice address

1102 E Richway Dr
Albert Lea, MN 56007-3580

Phone

(507) 402-4243

NPI assigned

Aug 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1750009544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E RICHWAY DR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073580",
            "telephone_number": "507-402-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E RICHWAY DR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073580",
            "telephone_number": "507-402-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "MN",
            "license": "518233",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Brogan
• Courtney Brooks, RN
• Amy Brouwers, L.I.C.S.W.
• Mikayla Shae Bruce, DNP, FNP-C
• Benjamin Jacob Brumbaugh, MS, CCC-SLP
• BST Albert Lea, LLC
• Jordan Buendorf, APRN
• Julianne S Bulau, MSW LICSW
• Richard Allen Buringa, C.R.N.A.
• Amy Busall

• Speech-Language Pathologist in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.