Natailie Nicole Brennan, MA CCC-SLP is a
Speech-language Pathologist based in Edgewater, Colorado. Natailie Nicole Brennan is licensed to practice in Colorado (license number SLP.0005823) and her current practice location is
2454 Fenton St, Edgewater, Colorado. She can be reached at her office (for appointments etc.) via phone at
(408) 455-6543.
NPI number for Natailie Nicole Brennan is 1447875455 and her current mailing address is 2454 Fenton St, Edgewater, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447875455.
Healthcare Provider's Profile
| Full Name | Natailie Nicole Brennan |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 2454 Fenton St, Edgewater, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447875455
- Provider Enumeration Date: 06/15/2020
- Last Update Date: 10/20/2025
Medical Identifiers
Medical identifiers for Natailie Nicole Brennan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447875455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | LL61614780 (Washington) | Secondary |
| 235Z00000X | Speech-language Pathologist | SAH-2024-0396 (New Mexico) | Secondary |
| 235Z00000X | Speech-language Pathologist | 38560 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | 11710 (Maryland) | Secondary |
| 235Z00000X | Speech-language Pathologist | SL018664 (Pennsylvania) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP.0005823 (Colorado) | Primary |
| 235Z00000X | Speech-language Pathologist | SLP013864 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Natailie Nicole Brennan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Natailie Nicole Brennan, MA CCC-SLP
2454 Fenton St,
Edgewater, CO 80214-1133
Ph: (408) 455-6543 | Natailie Nicole Brennan, MA CCC-SLP
2454 Fenton St,
Edgewater, CO 80214-1133
Ph: (408) 455-6543 |
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