AVA BURCKHARD (NPI# 1972954162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972954162 |
| Entity Type | Individual |
| Full Name | AVA BURCKHARD |
| Other Name | AVA BRERETON |
| Credential | CCC-SLP |
| Practice Address |
4501 Coleman St N Suite #103 Pediatric Therapy Partners Bismarck ND 58503 |
| Mailing Address |
306 3rd St Sw Mandan ND 58554-4145 |
| Practice Telephone | 7017516336 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
4501 COLEMAN ST N SUITE #103 PEDIATRIC THERAPY PARTNERS |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| 1376969915 | Mandi M Talbacka | Social Worker | 418 Granite Dr, Bismarck, ND 58503 | 2014-03-06 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1902416621 | Rachel Christine Petit | Speech-Language Pathologist | 1107 S 7th St, Bismarck, ND 58504-6533 | 2020-08-06 |
| 1134787146 | Mariah Lynn Benz | Speech-Language Pathologist | 809 W Interstate Ave Unit A, Bismarck, ND 58503-0964 | 2019-06-04 |
| 1366909251 | Milestones Therapy | Speech-Language Pathologist | 1033 S Washington St, Bismarck, ND 58504-6262 | 2019-02-27 |
| 1578072047 | Kathy Ann Watson | Speech-Language Pathologist | 17268 E 2750 North Rd, Bismarck, IL 61814-5130 | 2017-09-27 |
| 1942676002 | Victoria Nicole Eftink | Speech-Language Pathologist | 165 Campus Dr, Bismarck, MO 63624-8500 | 2015-08-12 |
| 1447655675 | Kristin Cleary | Speech-Language Pathologist | 1840 S Grandview Ln, Bismarck, ND 58503-0847 | 2014-10-30 |
| 1528487626 | Amanda Suzanne Potter | Speech-Language Pathologist | 204 West Holloway Ave, Bismarck, IL 61814 | 2014-04-16 |
| 1154748895 | Sandra Hendricksen Martire | Speech-Language Pathologist | 630 Oberhausen Dr, Bismarck, ND 58504-7056 | 2014-03-19 |
| 1649615352 | Jessica Towle Slp | Speech-Language Pathologist | 2505 Lacorte Pl, Bismarck, ND 58503-8866 | 2013-05-08 |
| 1598020133 | Andrea M Kellerman | Speech-Language Pathologist | 101 Dennis Dr, Special Services -- Claim Care, Bismarck, MO 63624-9075 | 2012-07-10 |
| Find all providers in BISMARCK | ||||
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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.