Suzanne Carroll Burke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013510-1 Issued in NY

Practice address

455 Meadow Dr
North Tonawanda, NY 14120-2817

Phone

(716) 807-3825

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1225311822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MEADOW DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202817",
            "telephone_number": "716-807-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MEADOW DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202817",
            "telephone_number": "716-807-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SUZANNE",
        "middle_name": "CARROLL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013510-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin John Brydges, DC
• Santania Lynn Buehler, LPN
• Buffalo Psychiatric Center
• Jade Burczynski
• Michele Burgess, EDM
• Anthony John Buscaglia, D.C.
• Kelly Byrne
• Paul A Cain, RPH
• Tara Nichole Caldwell, MS E.D.
• Canalside Primary Care PC

• Speech-Language Pathologist in North Tonawanda, NY
• Providers in North Tonawanda, 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 Sep 21, 2011; 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.