Susan Cheryl Burnett-Hampson, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

2216 Issued in CA

Practice address

821 Texas Ave
Los Banos, CA 93635-3453

Phone

(209) 826-1045

Fax

(209) 826-0952

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063619435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 WEST CHILDS AVENUE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-384-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 TEXAS AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353453",
            "telephone_number": "209-826-1045",
            "fax_number": "209-826-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT-HAMPSON",
        "first_name": "SUSAN",
        "middle_name": "CHERYL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP FURNISHER#",
            "identifier": "2216",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN#",
            "identifier": "190165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Bonillas, SUDCC III
• Brijesh Kadam MD Inc.
• Athena Bristow
• Nataly Brotherton
• Desiree Brown
• Latasha Shannon Butler, PA
• Dennis Mabanag Cabangca, FNP
• Karla Maria Cabrera Lopez, MPS, RDN, CPT
• Nobi Cabrera
• Ian Carlo Biaco Cadiz, MD

• Women's Health Nurse Practitioner in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.