Chelsea Burdick, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027693 Issued in NY

Practice address

4252 County Road 12
Andover, NY 14806

Phone

(607) 661-9904

NPI assigned

Jul 9, 2018

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1083100549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 COUNTY ROAD 12",
            "city": "ANDOVER",
            "state": "NY",
            "postal_code": "148069729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 COUNTY ROAD 12",
            "city": "ANDOVER",
            "state": "NY",
            "postal_code": "14806",
            "telephone_number": "607-661-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4252 County Road 12",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "NY",
            "postal_code": "14806",
            "country_code": "US",
            "telephone_number": "607-661-9904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "CHELSEA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andover Cental School District
• Andover Volunteer Ambulance Corp Inc
• Trevor James Bechtel, D.M.D.
• William A Coch, MD
• Kimberly D Cowburn, LCSW
• Wendy Dailey
• Jillian Louise Forman
• David Douglas Gardner

• Speech-Language Pathologist in Andover, NY
• Providers in Andover, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.