Jeanette Howell Burleson, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

048939 Issued in NC

Practice address

417 Park Ridge Rd
Albemarle, NC 28001-2831

Phone

(704) 986-4495

Fax

(704) 983-3690

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Amsol Anesthetists of Murrells Inlet, SC

  • Anesthesiology Physician
  • Murrells Inlet, SC
  • NPI 1376588384
  NPD (past)
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1124046115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PARK RIDGE RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012831",
            "telephone_number": "704-986-4495",
            "fax_number": "704-983-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 PARK RIDGE RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012831",
            "telephone_number": "704-986-4495",
            "fax_number": "704-983-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "JEANETTE",
        "middle_name": "HOWELL",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "048939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ellen Brown, PTA
• Chris R Bryan, PT
• Patricia Nicole Bryan, FNP-C
• Misty M. Bryant, FNP
• Daniel Burleson, PT
• Debora Louise Burns, LCSW
• Bill Carlton Burnside, DDS
• Tonya Lynn Burris, FNP
• Burrow Welchel Culp PLLC - 2
• Cynthia Butler, OT

• All providers in Albemarle, NC
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.