Phyllis Burt, MA CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU289 Issued in CA

Practice address

511 3Rd St W
Sonoma, CA 95476-6501

Phone

(707) 938-3610

NPI assigned

Jun 22, 2006

Last updated

Aug 28, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Coleman and Fallon Inc

  dba Park Place Hearing Center

  • Hearing Instrument Specialist
  • Petaluma, CA
  • NPI 1538547765

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1003852336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766501",
            "telephone_number": "707-938-3611",
            "fax_number": "408-356-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766501",
            "telephone_number": "707-938-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Maria Dr",
            "address_2": "Ste 812",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94954",
            "country_code": "US",
            "telephone_number": "707-763-3161",
            "fax_number": "707-763-9829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Maria Dr",
            "address_2": "Ste 812",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94954",
            "country_code": "US",
            "telephone_number": "707-763-3161",
            "fax_number": "707-763-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA1018",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Brooks, PHD. LCSW
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• Janet Kay Byrd, FNP-C
• Katy Ann Byrne, MFT
• Caliente Springs Physical Therapy Inc
• California Avant-Garde Physicians (Golden Gate Foot and Ankle)
• Gerald Joseph Camarata, MD

• Audiologist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.