Lori Burnside

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111161 Issued in TX

Practice address

205 W College Ave
Devine, TX 78016-2918

Phone

(830) 851-0732

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devine Independent School District

  • Local Education Agency (LEA)
  • Devine, TX
  • NPI 1427198654
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1659027704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W HONDO AVE",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780162509",
            "telephone_number": "830-851-0795",
            "fax_number": "830-663-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W COLLEGE AVE",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780162918",
            "telephone_number": "830-851-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065837901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Burford (Devine Assisted Living)
• Brenda's Devine Heritage Residential Care Center
• Brenda's Devine Heritage Residential, Inc (Brenda's Residential Assisted Living)
• Brenda's Devine Heritage Residential, Inc. (Heritage Residential)
• Brenda Burford
• Tania Cantin
• Sara Michelle Castleberry, LCDC
• Chapa Residential Care Home
• Veronica Elaine Chapa, LVN
• City of Devine Ambulance Service

• Speech-Language Pathologist in Devine, TX
• Providers in Devine, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.