Individual provider Active NPI

Robin Burkholz, MA CCC SLP

  • Speech-Language Pathologist
  • Westlake Village, CA
National Provider Identifier
1598100422
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP #4577 Issued in CA
Practice address
973 S Westlake Blvd
Suite # 105
Westlake Village, CA 91361-3116
Phone
(805) 374-7888
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP #4577 CA Primary

Addresses

Primary practice location

973 S Westlake Blvd
Suite # 105
Westlake Village, CA 91361-3116

Mailing address

973 S Westlake Blvd
Suite # 105
Westlake Village, CA 91361-3116
Phone (805) 374-7888

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
SP #4577CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1598100422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 S WESTLAKE BLVD",
            "address_2": "SUITE # 105",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613116",
            "telephone_number": "805-374-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 S WESTLAKE BLVD",
            "address_2": "SUITE # 105",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613116",
            "telephone_number": "805-374-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLZ",
        "first_name": "ROBIN",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP #4577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.