Judith B Branch, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001263 Issued in GA

Practice address

5809 Westlake Dr
Tifton, GA 31794-2201

Phone

(229) 386-5005

NPI assigned

Mar 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• J Branch SLP Services

  • Speech-Language Pathologist
  • Tifton, GA
  • NPI 1801289798
  NPD (past) Authorized official

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

{
    "created_epoch": "1331424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1992070841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 WESTLAKE DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942201",
            "telephone_number": "229-392-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 WESTLAKE DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942201",
            "telephone_number": "229-386-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "JUDITH",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-11",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Boutwell, ST
• Anna Bowen, CRNA
• Jessica Ann Boyd, NP-C
• Lauren Monk Boyett, CCC-SLP
• Parviz Brahman, M.D.
• J Scott Brickman, M.D.
• Sandra Gail Brickman, M.D.
• Samantha Denise Broadwater, CRNA
• Belinda Kay Brock, LPC009749
• Margaret Anne Brock

• All providers in Tifton, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.