NPIMap

Organization Active NPI

Laurie Ross-Brennan & Associates PA

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1952328858
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
215 Issued in NM
Legal business name
LAURIE ROSS-BRENNAN & ASSOCIATES PA
Practice address
4811E Hardware Dr NE Ste 1
Albuquerque, NM 87109-2019
Phone
(505) 268-5933
Fax
(505) 268-0184
NPI assigned
Jul 16, 2006
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Ms. Laurie Ross-Brennan, M.S. CCC-SLPNPI 1710040373
Title
President
Phone
(505) 268-5933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 215 NM Primary

Addresses

Primary practice location

4811E Hardware Dr NE Ste 1
Albuquerque, NM 87109-2019

Mailing address

4811E Hardware Dr NE Ste 1
Albuquerque, NM 87109-2019
Phone (505) 268-5933

Other identifiers 2

IdentifierTypeStateIssuer
D0939MedicaidNM
L3146MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121015000536 NM Part B Supplier - Clinic/Group Practice 6507016227 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4811E Hardware Dr NE
Ste 1
Albuquerque, NM 87109
Phone (505) 268-5933

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1952328858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811E HARDWARE DR NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092019",
            "telephone_number": "505-268-5933",
            "fax_number": "505-268-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811E HARDWARE DR NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092019",
            "telephone_number": "505-268-5933",
            "fax_number": "505-268-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE ROSS-BRENNAN & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "ROSS-BRENNAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-268-5933",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0939",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L3146",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.