Ann Landerholm-Burke, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00001428 Issued in WA

Practice address

21619 NE 11TH PL
Sammamish, WA 98074-6855

Phone

(425) 941-1593

NPI assigned

Jul 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1336348259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21619 NE 11TH PL",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980746855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21619 NE 11TH PL",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980746855",
            "telephone_number": "425-941-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERHOLM-BURKE",
        "first_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "00001428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyoko Kobayashi, MT
• Annemiek Koning
• Farah Kourourian
• Laboratory Corporation of America
• Edanili Sagun Lacar, M.D.
• Laxya Solutions LLC
• Khanh Le, DPM
• Ashley Marie Ledgerwood, TECH
• Lee Chim PLLC.
• Jessica Nadine Lee, O.D.

• Speech-Language Pathologist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.