Individual provider Active NPI

Kian McBurnie, MA, SLP-CCC, TSSLD

  • Speech-Language Pathologist
  • Eastport, NY
National Provider Identifier
1538418819
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023358 Issued in NY
Practice address
21 Lakeview CT
Eastport, NY 11941-1209
Phone
(516) 473-3451
NPI assigned
Sep 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 023358 NY Primary

Addresses

Primary practice location

21 Lakeview CT
Eastport, NY 11941-1209

Mailing address

14 Paine Ave
Farmingdale, NY 11735-2225

Other practice location 1

14 Paine Ave
Farmingdale, NY 11735-2225
Phone (516) 473-3451

Other identifiers 1

IdentifierTypeStateIssuer
03811814MedicaidNY

Other names 1

  • Kian Lyons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
023358NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1538418819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PAINE AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAKEVIEW CT",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411209",
            "telephone_number": "516-473-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Paine Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117352225",
            "country_code": "US",
            "telephone_number": "516-473-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBURNIE",
        "first_name": "KIAN",
        "credential": "MA, SLP-CCC, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03811814",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIAN",
            "last_name": "LYONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.