Active NPI
Meredith Burke, MA, CCC- SLP
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1386762656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 19842
- Practice address
- 2100 W 3Rd St
Los Angeles, CA 90057-1944 - Phone
- (213) 353-7010
- NPI assigned
- Mar 26, 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 | SP 19842 | CA | Primary |
Addresses
Primary practice location
2100 W 3Rd St
Los Angeles, CA 90057-1944
Mailing address
2100 W 3Rd St
Los Angeles, CA 90057-1944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73756237 | Medicaid | CO |
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 |
|---|---|---|---|
| SP 19842 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1386762656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571944",
"telephone_number": "213-353-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MEREDITH",
"credential": "MA, CCC- SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 19842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73756237",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.