Erica Jenelle Burton

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

360 SW Bond St Ste 330
Bend, OR 97702-3556

Phone

(541) 706-7730

Fax

(541) 706-4760

NPI assigned

Oct 31, 2023

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 names 1

• Erica Jenelle Defilippis 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": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1083487300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 NE HOPE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017739",
            "telephone_number": "503-803-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SW BOND ST STE 330",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023556",
            "telephone_number": "541-706-7730",
            "fax_number": "541-706-4760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 SW Highland Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977562558",
            "country_code": "US",
            "telephone_number": "541-923-2654",
            "fax_number": "541-548-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ERICA",
        "middle_name": "JENELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DEFILIPPIS",
            "middle_name": "JENELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill Burrows, LMT
• Tara Triest Burrows, OTR/L
• Monelle Larissa Burrus, NP
• Robin Burt
• Jennifer Jennine Burtner, MD
• Shelanna Rae Burton
• William Young Burton, M.D.
• Robin Burwell, LCSW
• Jennifer Bury, LAC
• Andrew Kyle Burzynski, LD

• Student in an Organized Health Care Education/Training Program in Bend, OR
• Providers in Bend, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.