Active NPI
Andrea Brown, MS, CCC-SLP
- Speech-Language Pathologist
- Davie, FL
National Provider Identifier
1871670562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 9928
- Practice address
- 4474 Weston Rd
MB #214
Davie, FL 33331-3195 - Phone
- (954) 385-8560
- Fax
- (954) 385-9505
- NPI assigned
- Nov 1, 2006
- 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 | SA 9928 | FL | Primary |
Addresses
Primary practice location
4474 Weston Rd
MB #214
Davie, FL 33331-3195
Mailing address
4474 Weston Rd
MB #214
Davie, FL 33331-3195
Phone (954) 385-8560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322627316A | Medicaid | GA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 9928 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1871670562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4474 WESTON RD",
"address_2": "MB #214",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313195",
"telephone_number": "954-385-8560",
"fax_number": "954-385-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4474 WESTON RD",
"address_2": "MB #214",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313195",
"telephone_number": "954-385-8560",
"fax_number": "954-385-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANDREA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 9928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322627316A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.