Individual provider Active NPI

Kelsey Marie Burdett, CCC-SLP

  • Speech-Language Pathologist
  • Waynesboro, VA
National Provider Identifier
1235633967
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203000736 Issued in VA
Practice address
520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644
Phone
(540) 451-2021
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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 2203000736 VA Primary

Addresses

Primary practice location

520 Lew Dewitt Blvd Ste 201
Waynesboro, VA 22980-1644

Mailing address

50 Gosling Cir Apt 203
Fishersville, VA 22939-2416
Phone (814) 289-6023

Other practice location 1

5301 Providence Rd Ste 80
Virginia Beach, VA 23464-4128
Phone (757) 467-1900

Other practice location 2

1413 Laskin Rd
Virginia Beach, VA 23451-6007
Phone (757) 263-2800

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

LicenseStateTypeSpecialty
2203000736VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
7 Senses Therapy Center, Inc. CurrentSince Dec 18, 2022 Accepting new patients

Locations

520 Lew Dewitt Blvd
Ste 201
Waynesboro, VA 22980
Phone (540) 451-2021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1235633967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GOSLING CIR APT 203",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392416",
            "telephone_number": "814-289-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LEW DEWITT BLVD STE 201",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801644",
            "telephone_number": "540-451-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Providence Rd Ste 80",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234644128",
            "country_code": "US",
            "telephone_number": "757-467-1900",
            "fax_number": "757-467-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 Laskin Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234516007",
            "country_code": "US",
            "telephone_number": "757-263-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDETT",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.