Active NPI
Callan Jane Burzynski, MCD CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1972014397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11922
- Practice address
- 807 W Trinity Ave Apt 251
Durham, NC 27701-1861 - Phone
- (252) 258-8404
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11922 | NC | Primary |
Addresses
Primary practice location
807 W Trinity Ave Apt 251
Durham, NC 27701-1861
Mailing address
807 W Trinity Ave Apt 251
Durham, NC 27701-1861
Phone (252) 258-8404
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11922 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1972014397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 W TRINITY AVE APT 251",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011861",
"telephone_number": "252-258-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 W TRINITY AVE APT 251",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011861",
"telephone_number": "252-258-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURZYNSKI",
"first_name": "CALLAN",
"middle_name": "JANE",
"credential": "MCD CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.