Pamela G. Burd, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1524 Issued in AZ

Practice address

535 S Main St
Cottonwood, AZ 86326-3902

Phone

(928) 639-2694

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• A.C.P. Inc

  • Developmentally Disabled Services Day Training Agency
  • Cottonwood, AZ
  • NPI 1467722751
  NPD (past)
• A.C.P. Inc.

  • Speech-Language Pathologist
  • Cottonwood, AZ
  • NPI 1245381326
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063631026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 E OAK CREEK TRL",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863255821",
            "telephone_number": "928-301-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263902",
            "telephone_number": "928-639-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURD",
        "first_name": "PAMELA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Nateal Brown-Kirk, RN
• Martha Brown, RD, CDE
• Bryan J. Shanahan DDS, PC (Peak Family Dental Care Cottonwood)
• Donna Jean Buchanan, PMHNP, FNP
• Shaunda Aylene Bueno, FNP-C
• Ronald Lee Burke
• Susanne Watson Burnett, R. P.T.
• Samuel M Butman, MD
• C. Dexter Hayes, MD, PC
• Gregory Caldwell, DO

• Speech-Language Pathologist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Speech-Language Pathologist in Arizona

• 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.

Verify at the official NPI Registry.