Lisa Dawn Burgess, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN112553 Issued in OH

Practice address

136 Maple St
Ashland, OH 44805-3264

Phone

(419) 496-2052

NPI assigned

Jul 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1093914517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAPLE ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053264",
            "telephone_number": "419-496-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAPLE ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053264",
            "telephone_number": "419-496-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN112553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Buchholz, M.A.
• Brianna Buckley, OD
• Rene' Budd, TO, CPST
• Elizabeth Buford
• Cynthia Sue Bunn
• Felecia Marie Burriss, R.N.
• Anthony J Buss
• Rodney T Caldwell
• Karrie Calzo, M.A. CCC-SLP
• Jordan M Campbell

• Licensed Practical Nurse in Ashland, OH
• Providers in Ashland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.