Active NPI
Aletha Jane Burnette, M.A., CFY-SLP
- Speech-Language Pathologist
- Show Low, AZ
National Provider Identifier
1295918779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2386995
- Practice address
- 982 Full House LN
Show Low, AZ 85901-4042 - Phone
- (928) 537-1208
- Fax
- (928) 537-4275
- NPI assigned
- Dec 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2386995 | AZ | Primary |
Addresses
Primary practice location
982 Full House LN
Show Low, AZ 85901-4042
Mailing address
PO Box 852
Fort Apache, AZ 85926-0852
Phone (928) 338-2609
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2386995 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1295918779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 852",
"city": "FORT APACHE",
"state": "AZ",
"postal_code": "859260852",
"telephone_number": "928-338-2609",
"fax_number": "928-338-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 FULL HOUSE LN",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859014042",
"telephone_number": "928-537-1208",
"fax_number": "928-537-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "ALETHA",
"middle_name": "JANE",
"credential": "M.A., CFY-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "2386995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.