Carla Marie Burroughs, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000002729 Issued in TN

Practice address

1215 Old Charlotte Rd
White Bluff, TN 37187-9011

Phone

(615) 414-6702

Fax

(615) 797-9184

NPI assigned

Feb 26, 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.

• Dickson County Schools

  • Local Education Agency (LEA)
  • Dickson, TN
  • NPI 1891122123
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144356767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 OLD CHARLOTTE RD",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371879011",
            "telephone_number": "615-414-6702",
            "fax_number": "615-797-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OLD CHARLOTTE RD",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371879011",
            "telephone_number": "615-414-6702",
            "fax_number": "615-797-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000002729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Barker, RD, LDN
• Big Step Therapy, PLLC
• Bailey Ann Brumit
• Beanca Brooke Clifton, BCBA
• Doreen Theresa Dagostino
• Dickson Medical Associates, PC (Dickson Medical Associates White Bluff)
• Enrichment at Home
• James L Fortner, D.D.S.,P.C.

• Speech-Language Pathologist in White Bluff, TN
• Providers in White Bluff, TN by specialty
• Speech-Language Pathologist in Tennessee

• 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.