Vanessa Trina Bravo, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22006848A Issued in IN

Practice address

383 Kingsmill Dr
Chesterton, IN 46304-2266

Phone

(219) 798-2655

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Duneland Speech Solutions LLC

  • Speech-Language Pathologist
  • Chesterton, IN
  • NPI 1689399941

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1760102909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 KINGSMILL DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042266",
            "telephone_number": "219-798-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 KINGSMILL DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042266",
            "telephone_number": "219-798-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "VANESSA",
        "middle_name": "TRINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006848A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bowman, LCSW
• Aaniyah Boyd, RBT
• Cheryl Brady, NP
• John Patrick Brady, M.D.
• Katherine Brankin
• Kendra Nicole Brazier
• Ma Carmel Quijada Breidigan, NP
• Joseph Brett, OD
• Benjamin Brewer, PA-C
• Brian C. McGue DDS PC

• Speech-Language Pathologist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.