Active NPI
Joanna Cathleen Burgess, M.A., CCC-SLP
- Speech-Language Pathologist
- La Jolla, CA
National Provider Identifier
1801247382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16900
- Practice address
- 9300 Campus Point Dr
Mail Code 7779
La Jolla, CA 92037-1300 - Phone
- (858) 657-7990
- Fax
- (858) 657-1809
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12014 | OH | |
| Speech-Language Pathologist | 235Z00000X | 16900 | CA | Primary |
Addresses
Primary practice location
9300 Campus Point Dr
Mail Code 7779
La Jolla, CA 92037-1300
Mailing address
9300 Campus Point Dr
Mail Code 7779
La Jolla, CA 92037-1300
Phone (858) 657-7990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12014 | Other | OH | SPEECH PATHOLOGY LICENSE |
| 16900 | Other | CA | SPEECH PATHOLOGY LICENSE |
Other names 1
- Joanna Cathleen Stegeman
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1801247382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR",
"address_2": "MAIL CODE 7779",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-7990",
"fax_number": "858-657-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR",
"address_2": "MAIL CODE 7779",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-7990",
"fax_number": "858-657-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JOANNA",
"middle_name": "CATHLEEN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "12014",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY LICENSE",
"identifier": "12014",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY LICENSE",
"identifier": "16900",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "STEGEMAN",
"middle_name": "CATHLEEN",
"credential": "M.A., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.