Natashauna Roshell Burney, MS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

24479801 Issued in NC

Practice address

2789 Ortiz Ave
Fort Myers, FL 33905-7806

Phone

(239) 791-1586

Fax

(239) 278-9058

NPI assigned

Nov 28, 2012

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1124363437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 ORTIZ AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057806",
            "telephone_number": "239-791-1586",
            "fax_number": "239-278-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 ORTIZ AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057806",
            "telephone_number": "239-791-1586",
            "fax_number": "239-278-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "NATASHAUNA",
        "middle_name": "ROSHELL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": "24479801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "24479801",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raina Burlak, MS NCC
• Corinne Burley, CRNA
• Jesse Andrew Burnam, MD
• Annie Rose Burnett, MD
• Keaton Burnett
• Angela Burns, LMT, MMP
• Paul L Burns, PT
• Chayana Burnside, PHARMD
• Adam Burow, D.O.
• Martha Isabel Burst, BA/TCM

• All providers in Fort Myers, FL
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.