Courtney C Burdick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322181 Issued in NY

Practice address

313 E Park St
Albion, NY 14411-1429

Phone

(585) 734-6534

NPI assigned

Nov 25, 2021

Last updated

Nov 25, 2021By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1043977994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E PARK ST",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E PARK ST",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111429",
            "telephone_number": "585-734-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "COURTNEY",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "322181",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "322181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert Frederick Bohnet III, PHYSICAL THERAPIST
• Amy Helen Bradley, RPH
• Stacey Arlene Braley, LMSW
• Jeremy Brandwein, DDS
• Leah Michelle Brenner, CPNP
• Kathryn Cady, MSW, LMSW
• Paula Ann Callahan, LCSW.
• Patricia Inez Cammarata, LMSW
• Brittany C Cassidy, LPN
• Alice Marie Casson, LPN

• Licensed Practical Nurse in Albion, NY
• Providers in Albion, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.