Phedra L Burnett, SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1550 Mann Dr
Pinole, CA 94564-2523

Phone

(510) 318-0328

NPI assigned

Sep 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1447929591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MANN DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642523",
            "telephone_number": "510-318-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MANN DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642523",
            "telephone_number": "510-318-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "PHEDRA",
        "middle_name": "L",
        "credential": "SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norton Bongbong, PT
• Thomas A. Boyce, D.D.S.
• Barry E Breaux, M.D.
• Jazmin Macpherson Breaux, LCSW
• Michael H Brown, M.D.
• Jennie G. Byrd, M.D.
• Ma. Yolanda Alonzo Caboboy, D.D.S.
• Yuhang Cai, PT
• Katharine McFadden Caldwell
• Laura Calixtro

• Speech-Language Pathologist in Pinole, CA
• Providers in Pinole, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.