Active NPI
Brooke Varland, CCC-SLP
- Speech-Language Pathologist
- Douglas, WY
National Provider Identifier
1780321018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1115
- Practice address
- 1705 Hamilton St
Douglas, WY 82633-2781 - Phone
- (307) 359-0352
- NPI assigned
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1115 | WY | Primary |
Addresses
Primary practice location
1705 Hamilton St
Douglas, WY 82633-2781
Mailing address
1705 Hamilton St
Douglas, WY 82633-2781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14178645 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA) | |
| SP-1115 | Other | WY | WYOMING STATE BOARD OF EXAMINERS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1115 | WY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1780321018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 HAMILTON ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 HAMILTON ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332781",
"telephone_number": "307-359-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARLAND",
"first_name": "BROOKE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-1115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)",
"identifier": "14178645",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING STATE BOARD OF EXAMINERS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "SP-1115",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.