Kelsy Burke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4012 Issued in WI

Practice address

1160 N Mulford Rd
Rockford, IL 61107-3883

Phone

(815) 227-1396

NPI assigned

Jul 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsy Robinson Former name

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1295118156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5568 GRAY EAGLE RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610736201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073883",
            "telephone_number": "815-227-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KELSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSY",
            "last_name": "ROBINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey V Burch, D.M.D.
• Todd D Burd, LCPC
• Mary Ann Buresh
• Colleen Burkart, APN
• Jeanie L Burke, RD
• John A Burnett, M.D.
• Korynn Burnett, BCBA
• Megan Burnett, MA LPC CADC
• Paige Gail Burnia, MD
• Debra Johnson Burns, M.A.,CCC-SLP

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.