Individual provider Active NPI

Brittany A Edyburn, MA CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1295319606
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14748 Issued in NC
Practice address
211 E Six Forks Rd Ste 219
Raleigh, NC 27609-7755
Phone
(984) 202-8633
Fax
(984) 202-2098
NPI assigned
May 11, 2021
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 27751 CA
Speech-Language Pathologist 235Z00000X 14748 NC Primary

Addresses

Primary practice location

211 E Six Forks Rd Ste 219
Raleigh, NC 27609-7755

Mailing address

211 E Six Forks Rd Ste 219
Raleigh, NC 27609-7755
Phone (984) 202-8633

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
27751CAMDGeneral Care Certified Respiratory Therapist
14748NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Junebug Speech and Language Therapy, PLLC Speech-Language Pathologist CurrentSince Dec 28, 2022 Accepting new patients

Locations

211 E Six Forks Rd
Ste 219
Raleigh, NC 27609
Phone (919) 834-6864

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1295319606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 219",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097755",
            "telephone_number": "984-202-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 219",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097755",
            "telephone_number": "984-202-8633",
            "fax_number": "984-202-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDYBURN",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27751",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.