Rebecca Burkart
Individual provider Active NPI Speech-Language Pathologist · Cody, WY
NPI 1386090199 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1386090199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#P9050 (AR)
- Practice address
- 808 North Street 2531 Cougar
Cody, WY 82414-2901 - Phone
- (307) 527-7060
- Fax
- (307) 587-2497
- NPI assigned
- May 11, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#P9050 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#P9050 | AR | Yes |
Addresses
Primary practice location
808 North Street 2531 Cougar
Cody, WY 82414-2901
Mailing address
PO Box 2901
Cody, WY 82414-2901
Phone (307) 527-7060
Other practice location 1
314 S 17th St
Fort Smith, AR 72901-3836
Phone (479) 782-1444
Other providers in Cody, WY
- Lynda D Brown
- Bruce Lyman
- Agnes Bruce
- Christa Jeane Buhler
- Jacey Bui
- Nikki Bustos
- Bydand Therapy & Consulting PC
- Linda Byrd
- Ashley Caldwell
- Emily J Call
All providers in Cody, WY · Speech-Language Pathologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.