Active NPI
Susan Gaillard Bunyard, SLP-CCC
- Speech-Language Pathologist
- Huntsville, AL
National Provider Identifier
1568040194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 7200 Governors West NW
Huntsville, AL 35806-2051 - Phone
- (256) 325-9905
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
7200 Governors West NW
Huntsville, AL 35806-2051
Mailing address
133 Oakhurst Dr
Madison, AL 35758-8192
Phone (256) 653-9907
Other practice location 1
2305 Montevallo Rd
Mountain Brk, AL 35223-2317
Phone (256) 653-9907
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan.burnyard@wise4al.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woolley Institute for Spoken-Language Education | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Birmingham, AL
- NPI 1518507474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1568040194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 OAKHURST DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588192",
"telephone_number": "256-653-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 GOVERNORS WEST NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358062051",
"telephone_number": "256-325-9905"
}
],
"practiceLocations": [
{
"address_1": "2305 Montevallo Rd",
"address_purpose": "LOCATION",
"city": "Mountain Brk",
"state": "AL",
"postal_code": "352232317",
"country_code": "US",
"telephone_number": "256-653-9907",
"fax_number": "205-649-6464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNYARD",
"first_name": "SUSAN",
"middle_name": "GAILLARD",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susan.burnyard@wise4al.org",
"affiliation": "N",
"address_1": "7200 Governors West NW",
"city": "Huntsville",
"state": "AL",
"country_code": "US",
"postal_code": "358062051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.