Active NPI
Diana Patrice Burns-Mayfield, MA CCC-SLP
- Speech-Language Pathologist
- Acworth, GA
National Provider Identifier
1659659878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005108
- Practice address
- 4035 Baywind Walk NW
Acworth, GA 30101-7610 - Phone
- (504) 236-5711
- NPI assigned
- Jul 22, 2011
- 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 | 2202005108 | VA | Primary |
Addresses
Primary practice location
4035 Baywind Walk NW
Acworth, GA 30101-7610
Mailing address
201 Eppes St
Hopewell, VA 23860-2717
Phone (804) 541-1445
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005108 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1659659878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EPPES ST",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602717",
"telephone_number": "804-541-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 BAYWIND WALK NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301017610",
"telephone_number": "504-236-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS-MAYFIELD",
"first_name": "DIANA",
"middle_name": "PATRICE",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.