Active NPI
Kristen Burkhart Varga, SLP
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1346535671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17880
- Practice address
- 9020 58TH Dr E
#102
Bradenton, FL 34202-6107 - Phone
- (941) 809-9805
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17880 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | SA 12374 | FL |
Addresses
Primary practice location
9020 58TH Dr E
#102
Bradenton, FL 34202-6107
Mailing address
8811 17TH Avenue Cir NW
Bradenton, FL 34209-8159
Other names 1
- Kristen Elyce Burkhart
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17880 | CA | MD | General Practice Dentistry |
| SA 12374 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1346535671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 17TH AVENUE CIR NW",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342098159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 58TH DR E",
"address_2": "#102",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342026107",
"telephone_number": "941-809-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGA",
"first_name": "KRISTEN",
"middle_name": "BURKHART",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "17880",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 12374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BURKHART",
"middle_name": "ELYCE",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.