Jade Burbank

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7651 Issued in LA

Practice address

954 E Prudhomme St
Opelousas, LA 70570-8239

Phone

(337) 772-9772

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Synergy Care Southeast LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Synergy Care Southeast, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1992352702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LO SAAB CV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705708239",
            "telephone_number": "337-772-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBANK",
        "first_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy P Broussard, F.N.P.
• Elkieber Brown, LCSW
• Joan F Brown
• Stuart M Brown, DDS
• Bryan a. Lebean, Sr., M.D., Apmc
• Brittaney Nicole Burke, DDS
• Michael Louis Burnell, MD
• Chantel K. Burns, MD
• Thomas Reed Butaud, MD
• Monica Butler

• Speech-Language Pathologist in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.