McKayla Jo Burgess, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-2120 Issued in WV

Practice address

112 Mellon St
Beckley, WV 25801-3536

Phone

(304) 255-5263

NPI assigned

Aug 5, 2019

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

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1265087407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PEA RIDGE RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259015670",
            "telephone_number": "304-840-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MELLON ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013536",
            "telephone_number": "304-255-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Saddleshop Road",
            "address_purpose": "LOCATION",
            "city": "Hilltop",
            "state": "WV",
            "postal_code": "25855",
            "country_code": "US",
            "telephone_number": "304-469-2966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MCKAYLA",
        "middle_name": "JO",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrick Burger
• Sakinah Burger
• Tyesha Burger
• Beverly Burgess
• Jerry Burgess
• Rue Amy Burgess
• Cherian Burkhardt
• Chelsea Burnett
• Alexis Burnette
• James Dale Burns

• Speech-Language Pathologist in Beckley, WV
• Providers in Beckley, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.