Individual provider Active NPI

Brittney Glass, M.A. CF-SLP

  • Speech-Language Pathologist
  • Piedmont, MO
National Provider Identifier
1922728948
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2022029620 Issued in MO
Practice address
825 N Main St
Piedmont, MO 63957-1222
Phone
(573) 223-4812
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2022029620 MO Primary

Addresses

Primary practice location

825 N Main St
Piedmont, MO 63957-1222

Mailing address

221 Pine Cone LN
Piedmont, MO 63957-5634
Phone (314) 225-9014

Other identifiers 1

IdentifierTypeStateIssuer
2022029620OtherMISSOURI STATE BOARD LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bglass@cwtigers.net

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 Arts

State licenses

LicenseStateTypeSpecialty
2022029620MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater R-1 School District Speech-Language Pathologist PastSince Sep 4, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bglass@cwtigers.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1922728948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PINE CONE LN",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639575634",
            "telephone_number": "314-225-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571222",
            "telephone_number": "573-223-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "BRITTNEY",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2022029620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD LICENSE",
            "identifier": "2022029620",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bglass@cwtigers.net",
            "affiliation": "N",
            "address_1": "825 N Main St",
            "city": "Piedmont",
            "state": "MO",
            "country_code": "US",
            "postal_code": "639571222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piedmont, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.