Individual provider Active NPI

Tayaisha Burton

  • Licensed Practical Nurse
  • Stanfordville, NY
National Provider Identifier
1073145579
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
319768 Issued in NY
Practice address
255 South Rd
Stanfordville, NY 12581-6124
Phone
(845) 337-2317
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 319768 NY Primary

Addresses

Primary practice location

255 South Rd
Stanfordville, NY 12581-6124

Mailing address

47 Sherwood FRST Apt B
Wappingers Falls, NY 12590-5733
Phone (347) 622-0347

Other practice location 1

47 Sherwood Frst Apt B
Wappingers Falls, NY 12590-5733
Phone (347) 622-0347

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL burtonlpn1982@gmail.com
CONNECT URL burtonlpn1982@gmail.com

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

LicenseStateTypeSpecialty
319768NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1073145579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SHERWOOD FRST APT B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125905733",
            "telephone_number": "347-622-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SOUTH RD",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "125816124",
            "telephone_number": "845-337-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Sherwood Frst Apt B",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125905733",
            "country_code": "US",
            "telephone_number": "347-622-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "TAYAISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "burtonlpn1982@gmail.com",
            "affiliation": "N",
            "address_1": "47 Sherwood Frst Apt B",
            "city": "Wappingers Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125905733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "burtonlpn1982@gmail.com",
            "affiliation": "N",
            "address_1": "255 South Rd",
            "city": "Stanfordville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125816124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanfordville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.