Tara Michelle Burgess

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

33473 Issued in TX

Practice address

1231 Greenway Dr Ste 100
Irving, TX 75038-2525

Phone

(972) 871-1800

Fax

(972) 871-1802

NPI assigned

Dec 4, 2012

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

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.

• Epic Pediatric Therapy, LP.

  dba Aveanna Healthcare

  • Rehabilitation Clinic/Center
  • Arlington, TX
  • NPI 1013163377
  NPD (past)
• FST, LLC

  dba First Steps Pediatric Therapy Specialists

  • Home Health Agency
  • Irving, TX
  • NPI 1952602476
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1689919532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 GREENWAY DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382525",
            "telephone_number": "972-871-1800",
            "fax_number": "972-871-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GREENWAY DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382525",
            "telephone_number": "972-871-1800",
            "fax_number": "972-871-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 N Central Expy",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314395",
            "country_code": "US",
            "telephone_number": "214-265-0420",
            "fax_number": "817-789-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bunt, L/ATC EDD
• James Steven Burdick, MD
• John David Burgardt, MD
• Laura Burger, CRNA
• Diane M. Burgess, CMMP, LMT
• Suna Burghul, DO
• Denise M Burgos, MD
• Christopher Alan Burke
• Dennis Bruce Burke, R.PH.
• Selene Burke, OD

• Speech-Language Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Speech-Language Assistant in Texas

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

Verify at the official NPI Registry.