Individual provider Active NPI

Kristen Burchard, MS CCC-SLP

  • Speech-Language Pathologist
  • La Plata, MD
National Provider Identifier
1982175998
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08539 Issued in MD
Practice address
5980 Radio Station Rd
La Plata, MD 20646-3337
Phone
(217) 883-7026
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

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
08539MDMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 08539 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

5980 Radio Station Rd
La Plata, MD 20646-3337

Mailing address

800 Edelen Station PL Apt 203
La Plata, MD 20646-6935
Phone (217) 883-7026

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2018.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1982175998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EDELEN STATION PL APT 203",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206466935",
            "telephone_number": "217-883-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 RADIO STATION RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463337",
            "telephone_number": "217-883-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHARD",
        "first_name": "KRISTEN",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.