Theresa Burbine

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4507 Issued in MA

Practice address

30 Man Mar Dr
Plainville, MA 02762-2271

Phone

(508) 695-6848

NPI assigned

Jun 23, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Theresa Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech-Language and Hearing Associates of Greater Boston, PC

  • Audiologist
  • Medfield, MA
  • NPI 1093974073

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003336678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAN MAR DR",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622271",
            "telephone_number": "508-695-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 N Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Medfield",
            "state": "MA",
            "postal_code": "020522317",
            "country_code": "US",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURBINE",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "LEWIS",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bethany Jeanne Borrowman, FNP-BC
• Rene' Roger Bousquet, DDS
• Kirstie Frances Bradshaw, CCC-SLP
• Jeffrey Paul Bratberg, PHARMD
• Janikah Brice, PA-C
• Michelle Burke, LMHC
• Alicia Caffrey, RN, IBCLC
• Kimberly Camara
• Carnabuci Chiropractic PC
• David Lee Carnabuci, D.C.

• Speech-Language Pathologist in Plainville, MA
• Providers in Plainville, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.