Active NPI
Ashley Nicole Burkett
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1578088167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP10764
- Practice address
- 20165 N 67TH Ave Ste 221a
Glendale, AZ 85308-7002 - Phone
- (602) 573-5842
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- No
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 | SLP10764 | AZ | Primary |
Addresses
Primary practice location
20165 N 67TH Ave Ste 221a
Glendale, AZ 85308-7002
Mailing address
20165 N 67TH Ave Ste 221a
Glendale, AZ 85308-7002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP10764 | Other | AZ | SPEECH THERAPY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP10764 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1578088167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20165 N 67TH AVE STE 221A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20165 N 67TH AVE STE 221A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087002",
"telephone_number": "602-573-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP10764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH THERAPY",
"identifier": "SLP10764",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.