KELLEY BETH BURT (NPI# 1790049096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790049096 |
| Entity Type | Individual |
| Full Name | KELLEY BETH BURT |
| Credential | M.S., CCC-SLP |
| Practice Address |
110 Elwood Davis Road Liverpool NY 13088 |
| Mailing Address |
7625 Highbridge Rd Apt D8 Manlius NY 13104-1621 |
| Practice Telephone | 3155602325 |
| Mailing Telephone | 3155602325 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 021991 | NY | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1744 W Genesee St, Syracuse, NY 132041902 | 3154683414 |
| Street Address |
110 ELWOOD DAVIS ROAD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| 1902105273 | Nicole Marie Fetzer | Nurse Anesthetist, Certified Registered | 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088 | 2011-03-25 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829344 | Nicole Backes | Speech-Language Pathologist | 4768 Buckley Rd Apt 11, Liverpool, NY 13088-3663 | 2020-07-23 |
| 1609438621 | Jamie Lynn Disalvo | Speech-Language Pathologist | 101 Clayton Manor Dr S Apt 8, Liverpool, NY 13088-5796 | 2019-06-29 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1225419831 | Stephanie Belmont | Speech-Language Pathologist | 7475 Morgan Rd Apt 6-12, Liverpool, NY 13090-3944 | 2015-06-10 |
| 1215338439 | Ashley Cook | Speech-Language Pathologist | 4108 Wafer Ash Way, Liverpool, NY 13090-1204 | 2014-09-07 |
| 1518374685 | Leah Kadlecik | Speech-Language Pathologist | 4500 Crown Rd, Liverpool, NY 13090-3507 | 2014-07-21 |
| 1710302468 | Jessica Zawisky | Speech-Language Pathologist | 16 Farmhouse Ln, Liverpool, PA 17045-9113 | 2014-03-04 |
| 1417372632 | Theresa Ann Fenton | Speech-Language Pathologist | 140 Iron Oak Cir, Liverpool, NY 13088-5475 | 2014-02-25 |
| 1902240500 | Lindsay B Rooney | Speech-Language Pathologist | 424 Kings Park Drive Ext Apt C, Liverpool, NY 13090-2778 | 2013-04-25 |
| 1447502133 | Melissa Agan Williams | Speech-Language Pathologist | 3785 Rivers Pointe Way, Apt. 15, Liverpool, NY 13090-4907 | 2012-10-05 |
| Find all providers in LIVERPOOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.