Phoenix Rising Speech-Language Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PHOENIX RISING SPEECH-LANGUAGE THERAPY SERVICES

Practice address

313 Golden Rod LN
Lexington, NC 27295-6889

Phone

(336) 337-2905

NPI assigned

Sep 24, 2018

Organization subpart

No

Name

Jessica Burr, MA, CCC-SLP

Title

Owner

Phone

(336) 337-2905

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2018.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1477037679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 GOLDEN ROD LN",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956889",
            "telephone_number": "336-337-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 GOLDEN ROD LN",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956889",
            "telephone_number": "336-337-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING SPEECH-LANGUAGE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-337-2905",
        "authorized_official_credential": "MA,  CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.