Alia Brewer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3645 Issued in OK

Practice address

1245 Whippoorwill Vis
Choctaw, OK 73020-7029

Phone

(405) 613-7036

NPI assigned

Jul 8, 2010

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

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 and National Provider Directory roles.

• Destination Speech, LLC

  • Speech-Language Pathologist
  • Yukon, OK
  • NPI 1811561871
  NPD Authorized official
• Speech Link

  • Speech-Language Pathologist
  • Choctaw, OK
  • NPI 1609022367
  NPD (past)
• Speech Link, Incorporated

  • Speech-Language Pathologist
  • Choctaw, OK
  • NPI 1528342615
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1770895641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHIPPOORWILL VIS",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730207029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHIPPOORWILL VIS",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730207029",
            "telephone_number": "405-613-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carri Bode, OTR/L
• Sara Botchlet, NP
• Meagan Bowers, RN
• Nathan Boyer
• Brain Thrive, PLLC
• Donald Earl Brewer, CERTIFIED A& D INSTR
• L Scott Brewer
• Bailey Brooks, BABHP
• Samantha Lyne Brown
• Bruce a. Stafford, DO, PC

• All providers in Choctaw, OK
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.