Total Brain SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TOTAL BRAIN SLP

Practice address

11420 Blondo St
Suite #103
Omaha, NE 68164

Phone

(503) 922-6626

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Lorraine Hunter, CCC-SLPNPI 1548749070

Title

Owner, Speech-Language Pathologist

Phone

(503) 922-6626

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Lorraine Hunter, SLP

  • Speech-Language Pathologist
  • Lynden, WA
  • NPI 1548749070
  NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1912578048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W BAKERVIEW RD STE 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BLONDO ST",
            "address_2": "SUITE #103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68164",
            "telephone_number": "503-922-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BRAIN SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-922-6626",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.