Ava Burckhard, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4501 Coleman St N Suite #103
Pediatric Therapy Partners
Bismarck, ND 58503

Phone

(701) 751-6336

NPI assigned

Jun 29, 2016

Last updated

Sep 7, 2018By the provider in NPPES

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

Other names 1

• Ava Brereton Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Therapy Partners, Inc.

  dba Pediatric Partners

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958

  ND, Speech-Language Pathologist

  Medicare reassignment NPD
• Pediatric Therapy Partners, Inc.

  dba Early Intervention Partners

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1104426352
  NPD

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1972954162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 3RD ST SW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 COLEMAN ST N SUITE #103",
            "address_2": "PEDIATRIC THERAPY PARTNERS",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-751-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCKHARD",
        "first_name": "AVA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "BRERETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Bueligen, MS/ATC
• Shelley Kay Buffington, LAC
• John Bugbee
• Ermuun Bulgan
• Hannah McAndrew Bunk, MSN, RN
• Brita Burdette, PHARM.D.
• Courtney Jo Burgad-Wifall, LCSW
• Sierra Larae Burgess, M.S.
• Danika Burkett, LPCC
• Burleigh County Council on Aging (Burleigh County Senior Adults Program)

• Speech-Language Pathologist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.