Individual provider Active NPI

Katie Ellen Dietrich-Burns, M.S.

  • Speech-Language Pathologist
  • Columbia, MD
National Provider Identifier
1417188186
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
03461 Issued in MD
Practice address
6349 Beechwood Dr
Columbia, MD 21046-1008
Phone
(410) 718-8696
NPI assigned
Jul 29, 2009
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 03461 MD Primary

Addresses

Primary practice location

6349 Beechwood Dr
Columbia, MD 21046-1008

Mailing address

6349 Beechwood Dr
Columbia, MD 21046-1008
Phone (410) 718-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115000724 MD Practitioner - Qualified Speech Language Pathologist 0042564700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Sep 13, 2023 Accepting new patients
Kdburns Associates, LLC Speech-Language Pathologist PastSince Dec 12, 2021 Accepting new patients

Locations

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-5829

Organizations & group practices 2

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1417188186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 BEECHWOOD DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461008",
            "telephone_number": "410-718-8696",
            "fax_number": "410-477-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 BEECHWOOD DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461008",
            "telephone_number": "410-718-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH-BURNS",
        "first_name": "KATIE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.