Jessica Burgos, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9562775 Issued in FL

Practice address

466 SW Port St Lucie Blvd Ste 114
Port St Lucie, FL 34953-2091

Phone

(772) 837-0500

Fax

(772) 264-7903

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiant Recharge LLC

  • Home Health Registered Nurse
  • Port St Lucie, FL
  • NPI 1366204927
  NPD
• Horizons Healthcare Agency

  • Multi-Specialty Clinic/Center
  • Chillicothe, IL
  • NPI 1265027551
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1093305062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 SW PORT ST LUCIE BLVD STE 114",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532091",
            "telephone_number": "772-837-0500",
            "fax_number": "772-264-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 SW PORT ST LUCIE BLVD STE 114",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532091",
            "telephone_number": "772-837-0500",
            "fax_number": "772-264-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041403333",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "736",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "777",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9562775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC ESTABLISHMENT",
            "identifier": "6029027",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "10D2300231",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@radiantrecharge.com",
            "affiliation": "N",
            "endpointDescription": "admin email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "466 SW Port St Lucie Blvd Ste 114",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349532091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Marie Burdick, RDH
• Melinda Burdiss, PTA
• Tania Burey McLean, ARNP
• Paul Phillip Burgener, PT
• Jennifer Burgess, ARNP
• Vanessa Alessandra Burgos, ARNP, FNP-C
• Haley Burke
• Kylie Nicole Burke I, BA
• Natalee Burke
• Charles A. Buscema, MD

• Registered Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.