Active NPI
Barry Guitar, PHD
- Speech-Language Pathologist
- Burlington, VT
National Provider Identifier
1053436113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00079533
- Practice address
- 489 Main Street
Pomeroy Hall University of Vermont
Burlington, VT 05405-0130 - Phone
- (802) 656-3861
- Fax
- (802) 656-2528
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 | 00079533 | Primary |
Addresses
Primary practice location
489 Main Street
Pomeroy Hall University of Vermont
Burlington, VT 05405-0130
Mailing address
489 Main Street
Pomeroy Hall University of Vermont
Burlington, VT 05405-0130
Phone (802) 656-3861
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28349 | Other | BLUE CROSS BLUE SHIELD | |
| 66V013 | Other | MVP |
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053436113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 MAIN STREET",
"address_2": "POMEROY HALL UNIVERSITY OF VERMONT",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054050130",
"telephone_number": "802-656-3861",
"fax_number": "802-656-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 MAIN STREET",
"address_2": "POMEROY HALL UNIVERSITY OF VERMONT",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054050130",
"telephone_number": "802-656-3861",
"fax_number": "802-656-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUITAR",
"first_name": "BARRY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "00079533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "28349",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "66V013",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.