Individual provider Active NPI

Juliane Leigh Brinkman, M.A.

  • Speech-Language Pathologist
  • Traverse City, MI
National Provider Identifier
1780090217
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004409 Issued in MI
Practice address
2950 Lafranier Rd
Traverse City, MI 49686-4918
Phone
(231) 947-0506
Fax
(231) 947-0744
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101004409 MI Primary

Addresses

Primary practice location

2950 Lafranier Rd
Traverse City, MI 49686-4918

Mailing address

2950 Lafranier Rd
Traverse City, MI 49686-4918
Phone (231) 947-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520002361 MI Practitioner - Qualified Speech Language Pathologist 0446570154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation Alliance IncGroup PAC ID 9133370430, 36 clinicians

Practice addresses (Care Compare)

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101004409MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation Alliance, Inc. Speech-Language Pathologist CurrentSince Apr 28, 2015 Accepting new patients

Locations

137 S Marketplace Blvd
Lansing, MI 48917
Phone (517) 336-6060

3181 Sandhill Rd
Mason, MI 48854
Phone (517) 336-6060

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1780090217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864918",
            "telephone_number": "231-947-0506",
            "fax_number": "231-947-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864918",
            "telephone_number": "231-947-0506",
            "fax_number": "231-947-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "JULIANE",
        "middle_name": "LEIGH",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.