Active NPI
Lakesha Wilson Burnell, NURSE PRACTITIONER
- Family Nurse Practitioner
- Warner Robins, GA
National Provider Identifier
1023580198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN148146
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Munro Psy D PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Military Hospital
- Robins Afb, GA
- NPI 1689886137
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.