Active NPI
Brianne Guynup, MS-CCC-SLP
- Speech-Language Pathologist
- Woodstock, GA
National Provider Identifier
1942518055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007854
- Practice address
- 1714 Dudley Dr
Woodstock, GA 30188-2154 - Phone
- (833) 575-2277
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007854 | GA | Primary |
| Speech-Language Pathologist | 235Z00000X | 017745 | NY |
Addresses
Primary practice location
1714 Dudley Dr
Woodstock, GA 30188-2154
Mailing address
1714 Dudley Dr
Woodstock, GA 30188-2154
Phone (833) 575-2277
Other practice location 1
1984 Route 9D
Wappingers Falls, NY 12590-6708
Phone (845) 392-3890
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007854 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Communication and Swallowing Services LLC | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Woodstock, GA
- NPI 1023514932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1942518055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 DUDLEY DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301882154",
"telephone_number": "833-575-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 DUDLEY DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301882154",
"telephone_number": "833-575-2277"
}
],
"practiceLocations": [
{
"address_1": "1984 Route 9D",
"address_purpose": "LOCATION",
"city": "Wappingers Falls",
"state": "NY",
"postal_code": "125906708",
"country_code": "US",
"telephone_number": "845-392-3890",
"fax_number": "845-632-6007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUYNUP",
"first_name": "BRIANNE",
"name_prefix": "Mrs.",
"credential": "MS-CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007854",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017745",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.