Jenna Lynn Burdette, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL016055 Issued in PA

Practice address

2603 Shady Ave
Pittsburgh, PA 15217-2404

Phone

(610) 751-1967

NPI assigned

Jul 13, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1003540386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172404",
            "telephone_number": "610-751-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172404",
            "telephone_number": "610-751-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jenna.burdette@presencelearning.com",
            "affiliation": "N",
            "address_1": "2603 Shady Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152172404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Burchette
• Marissa Grace Burd, D.O.
• Courtney Burda, PA-C
• Elaine Carolyn Burda, MA ATR LPC
• Ray G Burdett
• Allison Burfield
• Julia Burg, RDN, LDN
• Ryan Michael Burg
• Timothy Burg, D.O.
• Constantine Michael Burgan, M.D.

• Speech-Language Pathologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.