Audrey Alexa Bruggeman
NPI 1790428027ActiveIndividual· Speech-Language Pathologist· Goodyear, AZ
Speech-Language Pathologist with Rww Outpatient Rehab Services, LLC, practicing in Goodyear, Arizona. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1790428027 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 14, 2022 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP16043 | AZ |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | SLPA13590 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (AZ) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Rww Outpatient Rehab Services, LLCHendersonville, TN · 108 clinicians
Other Speech-Language Pathologist providers in Goodyear
- 1306549795
- 1497519573
- 1497027478
- 1245485630
- 1669011060
- 1124269170
- 1841480167
- 1932621109
- 1538677042
- 1215418991
- 1972740751
- 1437721818