Active NPI
Kelly D. Burkman
- Speech-Language Pathologist
- Reinholds, PA
National Provider Identifier
1245650753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008000
- Practice address
- 291 Mountaintop Rd
Reinholds, PA 17569-9078 - Phone
- (610) 927-3792
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | SL008000 | PA | Primary |
Addresses
Primary practice location
291 Mountaintop Rd
Reinholds, PA 17569-9078
Mailing address
291 Mountaintop Rd
Reinholds, PA 17569-9078
Phone (610) 927-3792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021717420001 | Medicaid | PA |
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 |
|---|---|---|---|
| SL008000 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1245650753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 MOUNTAINTOP RD",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699078",
"telephone_number": "610-927-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 MOUNTAINTOP RD",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699078",
"telephone_number": "610-927-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKMAN",
"first_name": "KELLY",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021717420001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reinholds, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.