Organization Active NPI

Stefanie Brannan M.S. CCC-SLP

  • Speech-Language Pathologist
  • Sparks, NV
National Provider Identifier
1780008417
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1216 Issued in NV
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

Updated by the provider on Feb 17, 2014

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.