Active NPI
Kelly Elizabeth Buras
- Speech-Language Pathologist
- Slidell, LA
National Provider Identifier
1669978615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4053
- Practice address
- 308 Steele Rd
Slidell, LA 70461-5108 - Phone
- (985) 640-7377
- Fax
- (985) 640-7377
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 4053 | LA | Primary |
Addresses
Primary practice location
308 Steele Rd
Slidell, LA 70461-5108
Mailing address
308 Steele Rd
Slidell, LA 70461-5108
Phone (985) 640-7377
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4053 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1669978615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 STEELE RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615108",
"telephone_number": "985-640-7377",
"fax_number": "985-640-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 STEELE RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615108",
"telephone_number": "985-640-7377",
"fax_number": "985-640-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURAS",
"first_name": "KELLY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.