Donna Marie Brown

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP003005 Issued in GA

Practice address

125 White Dogwood LN
Pooler, GA 31322-5006

Phone

(912) 450-7367

Fax

(912) 988-3149

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Talk Teachers, Inc

  • Speech-Language Pathologist
  • Pooler, GA
  • NPI 1104977404
  NPD (past) Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1962806364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITE DOGWOOD LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225006",
            "telephone_number": "912-450-7367",
            "fax_number": "912-988-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHITE DOGWOOD LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225006",
            "telephone_number": "912-450-7367",
            "fax_number": "912-988-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000789027B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Hospice LLC
• Linda Camille Brinson, RBT
• Alexandria Copeland Brooks, MSN, APRN, FNP-BC
• Faberge Brooks
• Arreyona Amea Rana Brown
• Jacqueline Ann Brown, FNP
• Jennifer Brown
• Lauren Ashley Brown
• Ludella Brown, APRN NP-C
• Michelle Brown, BCBA

• Speech-Language Pathologist in Pooler, GA
• Providers in Pooler, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.