Lisa C Burdge, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3123 Issued in NC

Practice address

1031 Morganton Blvd SW
Lenoir, NC 28645-5677

Phone

(828) 757-6226

Fax

(828) 757-6289

NPI assigned

Jun 16, 2005

Last updated

Sep 13, 2016By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1669477733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 GEORGE HAYES RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078493",
            "telephone_number": "828-757-6226",
            "fax_number": "828-757-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455677",
            "telephone_number": "828-757-6226",
            "fax_number": "828-757-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDGE",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "19914",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7419914",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patty Brown
• Sarah Livsey Buff, FNP
• Phoonamsing Bumma, FNP
• Geoffrey R Burbridge, M.D.
• Robert Charles Burden, OPTICIAN
• Robert C. Buresh, D.O.
• Alicia Joan Burger, PHARMD
• Burke Council on Alcoholism and Chemical Dependency, Inc (Burke Recovery)
• Anquinett Burnett
• Suzan Marie Cabral, NP-C

• Speech-Language Pathologist in Lenoir, NC
• Providers in Lenoir, 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 Sep 13, 2016; 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.