Individual provider Active NPI

Lakesha Wilson Burnell, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1023580198
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN148146 Issued in GA
Practice address
655 7TH St BLDG 700700a
Warner Robins, GA 31098-2227
Phone
(478) 497-1993
NPI assigned
Dec 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN148146 GA
Family Nurse Practitioner 363LF0000X RN148146 GA Primary

Addresses

Primary practice location

655 7TH St BLDG 700700a
Warner Robins, GA 31098-2227

Mailing address

203 Loudon Hill Dr
Warner Robins, GA 31088-8531
Phone (478) 550-5789

Other practice location 1

203 Loudon Hill Dr
Warner Robins, GA 31088-8531
Phone (478) 550-5789

Other names 1

  • Mrs. Lakesha Wilson Burnell Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lakesah.w.burnell.ctr@mail.mil Health Information Exchange (HIE)

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Munro Psy D PA PastSince Sep 8, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lburnell436567@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1023580198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LOUDON HILL DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888531",
            "telephone_number": "478-550-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700700A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-497-1993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Loudon Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888531",
            "country_code": "US",
            "telephone_number": "478-550-5789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNELL",
        "first_name": "LAKESHA",
        "middle_name": "WILSON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN148146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN148146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lakesah.w.burnell.ctr@mail.mil",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "655 7th St Bldg 700700A",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310982227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAKESHA",
            "last_name": "BURNELL",
            "middle_name": "WILSON",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.