Active NPI
Cimmon Elizabeth Burris, OT/L
- Occupational Therapist
- Annapolis, MD
National Provider Identifier
1073083754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05008
- Practice address
- 2644 Riva Rd
Annapolis, MD 21401-7427 - Phone
- (410) 222-5000
- NPI assigned
- Nov 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 05008 | MD | Primary |
Addresses
Primary practice location
2644 Riva Rd
Annapolis, MD 21401-7427
Mailing address
14007 Old Hanover Rd
Reisterstown, MD 21136-4207
Phone (443) 271-7808
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1073083754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14007 OLD HANOVER RD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211364207",
"telephone_number": "443-271-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2644 RIVA RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017427",
"telephone_number": "410-222-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "CIMMON",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.