Rebecca A Burgan, MACCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 3305 Issued in OH

Practice address

5259 Newell Cir
Kettering, OH 45440-2806

Phone

(937) 433-5779

NPI assigned

Mar 19, 2007

Last updated

Feb 10, 2014By 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

• Rebecca A Sieck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1982729273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5259 NEWELL CIR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402806",
            "telephone_number": "937-433-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 NEWELL CIR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402806",
            "telephone_number": "937-433-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGAN",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MACCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 3305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SIECK",
            "middle_name": "A",
            "credential": "MACCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bizimana Budugure
• Kristin Bull-Freeman, LPC
• Martin Burbank, M.D.
• Ashley Burch, PA
• Elizabeth Lauren Burdick, MD
• Cody Burger, PHARMD, BCSCP
• Joseph Burkhammer, MD
• Jonathan Robert Burtoft, PT, DPT, ATC, CSCS
• George Gateley Burton, MD
• Thomas H Burwinkel, M.D.

• Speech-Language Pathologist in Kettering, OH
• Providers in Kettering, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.