Kelley Beth Burt, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021991 Issued in NY

Practice address

110 Elwood Davis Road
Liverpool, NY 13088

Phone

(315) 560-2325

NPI assigned

Jul 2, 2012

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1790049096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 HIGHBRIDGE RD APT D8",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041621",
            "telephone_number": "315-560-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ELWOOD DAVIS ROAD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-560-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132041902",
            "country_code": "US",
            "telephone_number": "315-468-3414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "KELLEY",
        "middle_name": "BETH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ivan Buniak, DO
• Carrie P. Burd, LPN
• Beth Michelle Burghardt, MD
• Patricia F Burke, L.P.N
• Crystal A Burns
• Gregory Allen Bush
• Lorraine Ann Bushnell, LPN
• Melissa Buttner, PA
• C.a.P. Hearing Aid Service, Inc (Maico Hearing Aid Service)
• Brayden Cabrey

• Speech-Language Pathologist in Liverpool, NY
• Providers in Liverpool, 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 Nov 2, 2019; 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.