Jeanie Burch, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0233 Issued in MS

Practice address

1802 Strong Ave
Greenwood, MS 38930-3910

Phone

(662) 392-5599

Fax

(662) 459-7139

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By 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

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003845579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MAGNOLIA ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302222",
            "telephone_number": "662-453-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 STRONG AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303910",
            "telephone_number": "662-392-5599",
            "fax_number": "662-459-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "JEANIE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT0233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Faye Brunetti, ED.S., NCC, PCHMY
• Marshalvia Bryant, NP
• Darrington Buchanan
• Annica Bullard
• Deidra Bullock
• Courtney Burgess, DPT
• Patricia Busby-Robinson, NCC, LPC
• Jasmne Rakiya Cain
• Keisha Campbell
• Kimberly Cannon

• Athletic Trainer in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.