Individual provider Active NPI

Catherine A Burke, MS, CCC-SLP

  • Speech-Language Pathologist
  • Pelham, AL
National Provider Identifier
1801007653
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
625 Issued in AL
Practice address
203 Amphitheater Rd
Pelham, AL 35124-4302
Phone
(205) 664-9313
Fax
(205) 664-1934
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 625 AL Primary

Addresses

Primary practice location

203 Amphitheater Rd
Pelham, AL 35124-4302

Mailing address

203 Amphitheater Rd
Pelham, AL 35124-4302
Phone (205) 664-9313

Other identifiers 2

IdentifierTypeStateIssuer
051042513OtherALBLUECROSS BLUESHIELD AL
890001700MedicaidAL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
625ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of Shelby County, Inc. Past Accepting new patients
Arc of Shelby County Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1801007653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD AL",
            "identifier": "051042513",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890001700",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.