Brandy Marette Komos

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017030477 Issued in MO

Practice address

2843 Community LN
High Ridge, MO 63049-2337

Phone

(636) 677-3473

Fax

(636) 677-5480

NPI assigned

Aug 15, 2018

Last updated

Jan 20, 2023By 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

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.

• Northwest R-I School District

  • Local Education Agency (LEA)
  • High Ridge, MO
  • NPI 1306065347
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1760962153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 HANCOCK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392033",
            "telephone_number": "765-586-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 COMMUNITY LN",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492337",
            "telephone_number": "636-677-3473",
            "fax_number": "636-677-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMOS",
        "first_name": "BRANDY",
        "middle_name": "MARETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017030477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kassel, RDN, LD
• Evan Kayser
• Julie Kelley, LMSW
• Christian Klamert
• Peggy A Koenen, RPH
• Jeffrey Laponsie
• Lazarus Eye Care, LLC (Lazarus Eye Care)
• Matthew R Lazarus, OD
• Emily Lenth
• Brian Charles Longo

• Speech-Language Pathologist in High Ridge, MO
• Providers in High Ridge, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.