Crystal Patricia Burnett, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22853 Issued in CA

Practice address

2985 E Penny LN
Ontario, CA 91761-3901

Phone

(909) 800-2280

NPI assigned

Apr 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Blooming Communicators Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Ontario, CA
  • NPI 1013727189
  NPD Authorized official
• Blooming Communicators Speech Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Ontario, CA
  • NPI 1952007098
  NPD Authorized official

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1457747727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 E PENNY LN",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613901",
            "telephone_number": "909-800-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 E PENNY LN",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613901",
            "telephone_number": "909-800-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CRYSTAL",
        "middle_name": "PATRICIA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-06-23",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8978",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burciaga Speech Pathology, Inc.
• Stefanie Burciaga, MS, CCC-SLP
• Victoria Burk
• Christina Burkett
• Nasira Burkholder-Cooley, DRPH, RD
• John Burnett
• Rachelmarie Burrola
• Ebony Lee Burson
• Jedediah T Burton, DMD
• Kelline Burton

• Speech-Language Pathologist in Ontario, CA
• Providers in Ontario, 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 Jun 23, 2022; 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.