Kim Ellen Brunette, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

418 Issued in OK

Practice address

13720 Calistoga Dr
Oklahoma City, OK 73170-5113

Phone

(405) 552-2799

Fax

(405) 553-5668

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1891785747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 CALISTOGA DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705113",
            "telephone_number": "405-552-2799",
            "fax_number": "405-553-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 CALISTOGA DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705113",
            "telephone_number": "405-552-2799",
            "fax_number": "405-553-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTE",
        "first_name": "KIM",
        "middle_name": "ELLEN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100670690A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF REHAB",
            "identifier": "736017987116",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Bruner Jr.
• Sydney Bruner
• Tiffany Roshawn Bruner
• Tina M Bruner, MHR
• Christi Brunet
• Samantha Brunk, MD
• Michelle Lynn Brunnabend, MPH, DO
• Ronald Edward Brunnabend II, D.O.
• Matthew Brunson
• Kelly Shannon Brunsteter Misuraca, OTR

• Speech-Language Pathologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.