Active NPI
Heidi Burnett
- Speech-Language Pathologist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01113646
- Practice address
- 2835 Dublin Blvd
Colorado Springs, CO 80918-1662 - Phone
- (719) 533-1318
- Fax
- (719) 533-1319
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 01113646 | CO | Primary |
Addresses
Primary practice location
2835 Dublin Blvd
Colorado Springs, CO 80918-1662
Mailing address
2360 Montebello Square Dr
Colorado Springs, CO 80918-6977
Phone (719) 460-8386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000176621 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2375 Telstar Dr
Suite 115
Colorado Springs, CO 80920-1029
Phone (719) 282-2320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01113646 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Manual Physical Therapy, PC | Current | Accepting new patients | |
| Synergy Manual Physical Therapy PC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Rea Rehabilitation Services Inc | Past | Accepting new patients | |
| Edge Rehabilitation & Wellness LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2375 Telstar Dr
Ste 115
Colorado Springs, CO 80920
Phone (719) 282-2320
600 S 21st St
Unit 130
Colorado Springs, CO 80904
Phone (719) 634-1110
12105 Ambassador Dr
Colorado Springs, CO 80921
Phone (719) 481-5161
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1902032998
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
CO
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1790193159
-
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1770852006
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Colorado Springs, CO
- NPI 1386719052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1376738757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MONTEBELLO SQUARE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186977",
"telephone_number": "719-460-8386",
"fax_number": "719-522-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 DUBLIN BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181662",
"telephone_number": "719-533-1318",
"fax_number": "719-533-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "HEIDI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "01113646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000176621",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.