Teresa Burrous, ASST IN SLP

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

30887 Issued in TX

Practice address

144 Charlie Hall Rd
Lufkin, TX 75901-1089

Phone

(936) 707-6948

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teresa Hendry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1619684990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CHARLIE HALL RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759011089",
            "telephone_number": "936-707-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CHARLIE HALL RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759011089",
            "telephone_number": "936-707-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUS",
        "first_name": "TERESA",
        "credential": "ASST IN SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "30887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT OF LICENSING & REGULATION",
            "identifier": "30887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HENDRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Burke Center
• Burke Center
• Burke Center
• Burke Center
• Shelby Burnett, RN
• Jennifer Lynn Burson
• Debra Kathleen Burton, PH.D.,LPC,LMFT
• Kristin Amanda Buschemeyer, PA-C
• Robert Busuego, MD
• Jennifer Butler, RN, FNP-C

• Speech-Language Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.