Active NPI
BB Speech Therapy, LLC
- Speech-Language Pathologist
- Jackson, MS
National Provider Identifier
1508437468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BB SPEECH THERAPY, LLC
- Practice address
- 2407 Lake Cir
Jackson, MS 39211-6622 - Phone
- (601) 813-5844
- NPI assigned
- Jul 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Britt Buchanan Burkhalter, M.ED., CCC-SLP
- Title
- Owner/Provider
- Phone
- (601) 813-5844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2407 Lake Cir
Jackson, MS 39211-6622
Mailing address
2407 Lake Cir
Jackson, MS 39211-6622
Phone (601) 813-5844
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Jackson, MS
- NPI 1679065809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625097600000",
"number": "1508437468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 LAKE CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116622",
"telephone_number": "601-813-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 LAKE CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116622",
"telephone_number": "601-813-5844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BB SPEECH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A",
"authorized_official_last_name": "BURKHALTER",
"authorized_official_first_name": "BRITT",
"authorized_official_middle_name": "BUCHANAN",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "601-813-5844",
"authorized_official_credential": "M.ED., 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": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.