Marybeth Arceo Burriss-West

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

261027 Issued in NC

Practice address

1000 Blythe Blvd FL 4
Charlotte, NC 28203-5812

Phone

(704) 381-6800

Fax

(704) 381-6841

NPI assigned

Mar 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marybeth Arceo Burriss Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1023646825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 LILA BLUE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126955",
            "telephone_number": "919-274-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD FL 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-381-6800",
            "fax_number": "704-381-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRISS-WEST",
        "first_name": "MARYBETH",
        "middle_name": "ARCEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NC",
            "license": "261027",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "261027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYBETH",
            "last_name": "BURRISS",
            "middle_name": "ARCEO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stuart Heinrich Burri, M.D.
• Tammathy Burris Sadler
• Metta Nicole Pittman Burris, DNP, RN, AGPCNP-BC
• Taylor Burris, MSW, LCSWA
• Tralyn Burris
• Albert Burrow, D.M.D
• Samuel Jackson Burrow IV, DDS,DMD
• Samuel Jackson Burrow III, DDS, MS,ABO
• Burrow, Welchel, Culp & Moore, PLLC
• Akinlana Burrowes

• Pediatric Critical Care Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Critical Care Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.