Individual provider Active NPI

Kerry Anne Burkhart - Weed, SLP - A

  • Speech-Language Assistant
  • Vero Beach, FL
National Provider Identifier
1386998110
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI2140 Issued in FL
Practice address
2170 45TH St
Vero Beach, FL 32967-1593
Phone
(772) 567-0061
NPI assigned
Oct 31, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI2140 FL Primary

Addresses

Primary practice location

2170 45TH St
Vero Beach, FL 32967-1593

Mailing address

1855 Bridgepointe Cir
# 21
Vero Beach, FL 32967-6838
Phone (772) 538-6244

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

State licenses

LicenseStateTypeSpecialty
SI2140FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Aboard Therapy of the Treasure Coast, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1386998110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 BRIDGEPOINTE CIR",
            "address_2": "# 21",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329676838",
            "telephone_number": "772-538-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 45TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671593",
            "telephone_number": "772-567-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART - WEED",
        "first_name": "KERRY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "SLP - A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.