Active NPI
Dotianna Burrage
- Registered Nurse
- Schaumburg, IL
National Provider Identifier
1093366536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.561968
- Practice address
- 675 S Roselle Rd
Schaumburg, IL 60193-3100 - Phone
- (847) 352-5500
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Registered Nurse | 163W00000X | 041.561968 | IL | Primary |
Addresses
Primary practice location
675 S Roselle Rd
Schaumburg, IL 60193-3100
Mailing address
432 W Wise Rd
Schaumburg, IL 60193-4063
Phone (773) 996-8809
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 |
|---|---|---|---|
| 041.561968 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1093366536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 W WISE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601934063",
"telephone_number": "773-996-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933100",
"telephone_number": "847-352-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRAGE",
"first_name": "DOTIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.561968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.