MALLORY VAUGHN BUKAS
NPI 1265154611
Speech-Language Pathologist in Mount Airy, NC

Q: What is Mallory Bukas's NPI number?

The NPI number for Mallory Bukas is 1265154611. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Q: What is Mallory Bukas's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Bukas was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2022

711 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030(855) 983-0488 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Sep 13, 2022 (2 updates tracked since 2022).

On this page

About Mallory Vaughn Bukas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY VAUGHN BUKAS (NPI 1265154611) is an individual speech-language pathologist provider in Mount Airy, North Carolina, licensed in North Carolina (30001123) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1265154611

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMALLORY VAUGHN BUKAS

Location Address711 W INDEPENDENCE BLVDMount Airy, NC 27030-3576

Mailing Address6835 Ridge RdTobaccoville, NC 27050-9731 · (704) 495-5342

Phone(855) 983-0488

Sole ProprietorYes

Enumeration DateSeptember 13, 2022

Last NPPES UpdateMay 19, 20252 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1265154611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NC · 30001123

Definition

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.

711 W INDEPENDENCE BLVD, Mount Airy, NC 27030

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALEE LAMBERT OTR/L

Occupational Therapist (Pediatrics)