Active NPI
Kacey Leigh Burakowski
- Speech-Language Pathologist
- Elmore, VT
National Provider Identifier
1184939704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12095771
- Practice address
- 700 Beach Rd
Elmore
Elmore, VT 05661-2010 - Phone
- (802) 888-8474
- NPI assigned
- Aug 9, 2010
- Last updated
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 12095771 | VT | Primary |
Addresses
Primary practice location
700 Beach Rd
Elmore
Elmore, VT 05661-2010
Mailing address
700 Beach Rd
Elmore
Elmore, VT 05661-2010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12095771 | VT | MD | Speech-Language Pathologist |
Interoperability endpoints
- kacey.burakowski@work.direct.kno2fy.com
- kaceyburakowski@work.direct.kno2fy.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1184939704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BEACH RD",
"address_2": "ELMORE",
"city": "ELMORE",
"state": "VT",
"postal_code": "056612010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BEACH RD",
"address_2": "ELMORE",
"city": "ELMORE",
"state": "VT",
"postal_code": "056612010",
"telephone_number": "802-888-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURAKOWSKI",
"first_name": "KACEY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VT",
"license": "12095771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmore, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.