Brandy Anderson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

2355S0801X Issued in AR

Practice address

12 Sallisaw CT
North Little Rock, AR 72116-5327

Phone

(501) 626-5992

NPI assigned

Feb 18, 2015

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandy Ott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1861883464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E DIXON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064115",
            "telephone_number": "501-234-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALLISAW CT",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165327",
            "telephone_number": "501-626-5992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 E Dixon Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722064115",
            "country_code": "US",
            "telephone_number": "501-234-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "2355S0801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204892721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "OTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda J Ryals, LLC
• American Current Care of Arkansas PA (Concentra Urgent Care)
• Amigos Pediatric Therapy Services, Inc
• Karen Jeanne Ammons, MSN
• Lavanyah Anbazhagan, MD
• Charles Anderson, MHPP
• Daniel Renard Anderson Jr., BS
• Margaret Ann Anderson, APRN,BC
• Colton Andrews, PHARMD
• Romanus Anebere, MD

• Speech-Language Assistant in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.