Individual provider Active NPI

Maegan Brooke Burnette, SLP

  • Speech-Language Pathologist
  • Roanoke, VA
National Provider Identifier
1174430326
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001849 Issued in VA
Practice address
3216 Mount Pleasant Blvd
Roanoke, VA 24014-5420
Phone
(540) 427-1879
NPI assigned
Aug 25, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2204001849 VA Primary

Addresses

Primary practice location

3216 Mount Pleasant Blvd
Roanoke, VA 24014-5420

Mailing address

3216 Mount Pleasant Blvd
Roanoke, VA 24014-5420
Phone (540) 427-1879

Other practice location 1

2902 E Washington Ave
Vinton, VA 24179-1314
Phone (540) 890-3090

Other practice location 2

1314 Riverland Rd SE
Roanoke, VA 24014-3610
Phone (540) 556-3670

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1174430326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 MOUNT PLEASANT BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145420",
            "telephone_number": "540-427-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 MOUNT PLEASANT BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145420",
            "telephone_number": "540-427-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Vinton",
            "state": "VA",
            "postal_code": "241791314",
            "country_code": "US",
            "telephone_number": "540-890-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Riverland Rd SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240143610",
            "country_code": "US",
            "telephone_number": "540-556-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "MAEGAN",
        "middle_name": "BROOKE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.