Active NPI
Stefanie Brannan M.S. CCC-SLP
- Speech-Language Pathologist
- Sparks, NV
National Provider Identifier
1780008417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1216
- Legal business name
- STEFANIE BRANNAN M.S. CCC-SLP
- Practice address
- 4940 San Diego CT
Sparks, NV 89436-0687 - Phone
- (775) 742-8635
- Fax
- (775) 448-6106
- NPI assigned
- Feb 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefanie Brannan, M.S. CCC-SLP
- Title
- Owner/Speech Language Pathologist
- Phone
- (775) 742-8635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1216 | NV | Primary |
Addresses
Primary practice location
4940 San Diego CT
Sparks, NV 89436-0687
Mailing address
4940 San Diego CT
Sparks, NV 89436-0687
Phone (775) 742-8635
Other names 1
- Nevada Speech and Therapy Group - Sparks
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Sparks, NV
- NPI 1932530854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1780008417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 SAN DIEGO CT",
"city": "SPARKS",
"state": "NV",
"postal_code": "894360687",
"telephone_number": "775-742-8635",
"fax_number": "775-448-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 SAN DIEGO CT",
"city": "SPARKS",
"state": "NV",
"postal_code": "894360687",
"telephone_number": "775-742-8635",
"fax_number": "775-448-6106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEFANIE BRANNAN M.S. CCC-SLP",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-17",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "BRANNAN",
"authorized_official_first_name": "STEFANIE",
"authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "775-742-8635",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-1216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Speech and Therapy Group - Sparks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.