Active NPI
Brenda J Easter, SLP
- Speech-Language Pathologist
- Buffalo, NY
National Provider Identifier
1861636482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011265
- Practice address
- 73 Pawnee Pkwy
Buffalo, NY 14210-1815 - Phone
- (716) 816-4770
- Fax
- (716) 816-4771
- NPI assigned
- Apr 27, 2009
- Last updated
- Jan 23, 2020
- 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 | 011265 | NY | Primary |
Addresses
Primary practice location
73 Pawnee Pkwy
Buffalo, NY 14210-1815
Mailing address
808 Lake St
Angola, NY 14006-9534
Phone (716) 432-6021
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Link for Children, PLLC | Past | Accepting new patients | |
| Therapeutic Link for Children | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1972784221
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1508222498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1861636482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 LAKE ST",
"city": "ANGOLA",
"state": "NY",
"postal_code": "140069534",
"telephone_number": "716-432-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 PAWNEE PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142101815",
"telephone_number": "716-816-4770",
"fax_number": "716-816-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTER",
"first_name": "BRENDA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.