Stacy L Brand

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA3911 Issued in CA

Practice address

26284 Oso Rd Ste 114
San Juan Capistrano, CA 92675-1629

Phone

(949) 824-9557

NPI assigned

Jan 9, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Spirit Speech Pathology Inc

  • Speech-Language Pathologist
  • San Juan Capistrano, CA
  • NPI 1679691703

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1881167104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28520 WOOD CANYON DR APT 125",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565272",
            "telephone_number": "949-939-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26284 OSO RD STE 114",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751629",
            "telephone_number": "949-824-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "STACY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Bolsinger, M.A., MFT
• Sarah Bordelon
• Kelly Alexander Boshman, D.C.
• Lauren Elizabeth Bouwman, M.S., CCC-SLP
• Anthony Thomas Braig, PT
• Arthur John Brandenburg
• Melissa Jean Braun, OTD
• Jamie Bray, BCBA
• Bright Speech-Language Pathology, Inc
• Stacey A. Bright

• Speech-Language Assistant in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.