BRENNA BASE SLP
NPI 1073303061
Speech-Language Pathologist in Lawton, OK

Active since May 12, 2025
7102 NW CACHE RD, LAWTON, OK 73505(580) 280-4651(580) 280-4652 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, May 12, 2025 (2 updates tracked since 2025).

About Brenna Base Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNA BASE SLP (NPI 1073303061) is an individual speech-language pathologist provider in Lawton, Oklahoma and active in the NPI registry since May 2025. She maintains a secondary practice location in Lawton and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073303061
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBRENNA BASECredential: SLP
Location Address7102 NW CACHE RDLawton, OK 73505-2710
Mailing Address19713 Filly DrEdmond, OK 73012-3469 · (405) 248-7373
Fax(580) 280-4652
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 12, 2025
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1073303061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

7102 NW CACHE RD, Lawton, OK 73505

Other Names 1

Former Name (1)Brenna Kay Nowell

Secondary Practice Location 1

Location 13401 W Gore BlvdLawton, OK 73505-6332 · Phone (580) 355-8620

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brenna Base Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517470289
PECOS Enrollment IDI20250627000331

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
7102 NW CACHE RD
LAWTON, OK 73505
Pharmacy (Community/Retail Pharmacy)
7102 NW CACHE RD
LAWTON, OK 73505
Nurse Practitioner (Family)
7102 NW CACHE RD
LAWTON, OK 73505
Family Medicine
7102 NW CACHE RD
LAWTON, OK 73505
Speech-Language Pathologist
7102 NW CACHE RD
LAWTON, OK 73505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073303061, enumerated as an "individual" on May 12, 2025.

The provider is located at 7102 NW CACHE RD LAWTON, OK 73505 and the phone number is (580) 280-4651.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. Please consult your insurance carrier or call the provider to verify.