Karen-Margrethe Dybvad Bruun

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003259 Issued in WA

Practice address

4956 Deming Rd
Deming, WA 98244

Phone

(360) 383-2000

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2019.

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1972068229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BARKLEY BLVD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264106",
            "telephone_number": "360-325-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 DEMING RD",
            "city": "DEMING",
            "state": "WA",
            "postal_code": "98244",
            "telephone_number": "360-383-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUUN",
        "first_name": "KAREN-MARGRETHE",
        "middle_name": "DYBVAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CCC",
            "identifier": "09141680",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brieenna Broddie
• Danica Chapin
• Ginger Tree Falcone, MA, LMFT
• Jennifer Ashley Garcia, COTA/L
• Sarah Hare, MOT
• Callie Houk

• All providers in Deming, WA
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.