Active NPI
Stacey L. Burds, SLP
- Speech-Language Pathologist
- La Crosse, WI
National Provider Identifier
1033455035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3714
- Practice address
- 700 West Ave S
La Crosse, WI 54601-4783 - Phone
- (608) 785-0940
- NPI assigned
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3714 | WI | Primary |
Addresses
Primary practice location
700 West Ave S
La Crosse, WI 54601-4783
Mailing address
700 West Ave S
La Crosse, WI 54601-4783
Phone (608) 785-0940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3714 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1033455035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014783",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014783",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDS",
"first_name": "STACEY",
"middle_name": "L.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.