Active NPI
Sean Michael Burton, LAT, ATC
- Athletic Trainer
- Raleigh, NC
National Provider Identifier
1013267905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1614
- Practice address
- 118 E South St
Raleigh, NC 27601-2341 - Phone
- (919) 719-8857
- NPI assigned
- Sep 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1614 | NC | Primary |
Addresses
Primary practice location
118 E South St
Raleigh, NC 27601-2341
Mailing address
145 Carriage Hill Dr
Stem, NC 27581-9123
Phone (540) 257-0523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1013267905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 CARRIAGE HILL DR",
"city": "STEM",
"state": "NC",
"postal_code": "275819123",
"telephone_number": "540-257-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E SOUTH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276012341",
"telephone_number": "919-719-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.