Anita L Lightburn

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010114-1 Issued in NY

Practice address

Gebbie Clinics
805 S. Crouse Ave.
Syracuse, NY 13244-0001

Phone

(315) 443-9647

Fax

(315) 443-4413

NPI assigned

May 6, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1689808529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GEBBIE CLINICS",
            "address_2": "805 S. CROUSE AVE.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132440001",
            "telephone_number": "315-443-9647",
            "fax_number": "315-443-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GEBBIE CLINICS",
            "address_2": "805 S. CROUSE AVE.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132440001",
            "telephone_number": "315-443-9647",
            "fax_number": "315-443-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTBURN",
        "first_name": "ANITA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010114-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Liegel, MD
• Annette-Karen Feng Miau Liem, M.D.
• Alexandra Liepe, LMSW
• Jimmy Lieu, MD
• Sarah Kathlene Liggett, RPA-C
• Jasmine Lightburn
• Debra Ann Lightfoot, CCC-A
• Christine Cantine Lighthipe, MS ED. OTR/L
• Rose A Lighton
• Shannon Ligon, OTR

• Speech-Language Pathologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.