Leilani Burgess, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12838 Issued in NC

Practice address

2932 Breezewood Ave
Fayetteville, NC 28303-5523

Phone

(910) 308-7895

NPI assigned

Apr 17, 2018

Last updated

Apr 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1598252322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 AMISH DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148421",
            "telephone_number": "609-846-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BREEZEWOOD AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035523",
            "telephone_number": "910-308-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LEILANI",
        "name_prefix": "Miss",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea H Burchette, M.ED. CCC-SLP
• Amanda Burden, CRNA
• Katy Jane Burdett, DPT
• Asia K Burgess, LCSW-A
• Kinsley Burgess
• Toyia Cynara Burgess, LCSW, CASAC
• Edwin Alejandro Burgos Rossy, MD
• Brianna Marie Burgos, PA-C
• Hilda Diane Burgos
• Zachary Joseph Shyi-an Burk, DDS

• Speech-Language Pathologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.