Active NPI
Aki Vanbuskirk, M.S.CCC/SLP
- Speech-Language Pathologist
- Tyler, TX
National Provider Identifier
1982090684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18615
- Practice address
- 1001 WSW Loop 323 E.T. Children'S Therapy Services
Tyler, TX 75701 - Phone
- (903) 509-1313
- Fax
- (903) 509-1383
- NPI assigned
- Apr 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18615 | TX | Primary |
Addresses
Primary practice location
1001 WSW Loop 323 E.T. Children'S Therapy Services
Tyler, TX 75701
Mailing address
1001 WSW Loop 323 E.T. Children'S Therapy Services
Tyler, TX 75701
Phone (903) 509-1313
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 |
|---|---|---|---|
| 18615 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Pediatric Rehabilitation Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tyler, TX
- NPI 1871654244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1982090684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WSW LOOP 323 E.T. CHILDREN'S THERAPY SERVICES",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-509-1313",
"fax_number": "903-509-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WSW LOOP 323 E.T. CHILDREN'S THERAPY SERVICES",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-509-1313",
"fax_number": "903-509-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBUSKIRK",
"first_name": "AKI",
"credential": "M.S.CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.