Active NPI
Trenedi Breann Deal
- Speech-Language Assistant
- Bedford, TX
National Provider Identifier
1821824780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 44091
- Practice address
- 2509 Bedford Rd
Bedford, TX 76021-6985 - Phone
- (817) 508-0030
- NPI assigned
- Sep 9, 2024
- 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 Assistant | 2355S0801X | 44091 | TX | Primary |
Addresses
Primary practice location
2509 Bedford Rd
Bedford, TX 76021-6985
Mailing address
4699 Fossil Vista Dr Apt 2208
Haltom City, TX 76137-6203
Phone (325) 430-9198
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 |
|---|---|---|---|
| 44091 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1821824780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4699 FOSSIL VISTA DR APT 2208",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761376203",
"telephone_number": "325-430-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 BEDFORD RD",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216985",
"telephone_number": "817-508-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "TRENEDI",
"middle_name": "BREANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "44091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.