Individual provider Active NPI

Breanna Marie Suther, MS CCC-SLP

  • Speech-Language Pathologist
  • Bedford, NH
National Provider Identifier
1922386168
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1364 Issued in NH
Practice address
165 S River Rd
Bedford, NH 03110-6926
Phone
(603) 206-6800
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 77930 MA
Speech-Language Pathologist 235Z00000X 1364 NH Primary

Addresses

Primary practice location

165 S River Rd
Bedford, NH 03110-6926

Mailing address

46 Cottage Ave
Winthrop, MA 02152-2502
Phone (603) 305-2947

Other practice location 1

46 Cottage Ave
Winthrop, MA 02152-2502
Phone (603) 305-2947

Other names 1

  • Breanna Marie Suther Former name

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

LicenseStateTypeSpecialty
77930MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatter and Chew Speech and Feeding Therapy PLLC CurrentSince May 16, 2022 Accepting new patients
Amoskeag Health Past Accepting new patients
Amoskeag Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1922386168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 COTTAGE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522502",
            "telephone_number": "603-305-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106926",
            "telephone_number": "603-206-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Cottage Ave",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "MA",
            "postal_code": "021522502",
            "country_code": "US",
            "telephone_number": "603-305-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHER",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77930",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "SUTHER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.