Jayme Elizabeth Burnett-Green, CBHCM II, CPRSS

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

207 N Taylor Ave
Wynnewood, OK 73098-4626

Phone

(405) 207-0132

Fax

(405) 251-5017

NPI assigned

Jul 11, 2013

Last updated

Jun 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jayme Elizabeth Burnett-Evans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1033550520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N TAYLOR AVE",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730984626",
            "telephone_number": "405-207-0132",
            "fax_number": "405-251-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N TAYLOR AVE",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730984626",
            "telephone_number": "405-207-0132",
            "fax_number": "405-251-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT-GREEN",
        "first_name": "JAYME",
        "middle_name": "ELIZABETH",
        "credential": "CBHCM II, CPRSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200507080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYME",
            "last_name": "BURNETT-EVANS",
            "middle_name": "ELIZABETH",
            "credential": "CBHCM II, CPRSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Desiree Briana Bryant, LPN
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• Amy Corrick, LPC CANDIDATE
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• Rehabilitation Psychologist in Wynnewood, OK
• Providers in Wynnewood, OK by specialty
• Rehabilitation Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.