Kaneisha Burrus

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

20014891 Issued in IN

Practice address

10853 Mistflower Way
Indianapolis, IN 46235-3563

Phone

(317) 406-1299

NPI assigned

Sep 9, 2020

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

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.

• Shining Hearts Home Care LLC

  • Attendant Care Provider
  • Indianapolis, IN
  • NPI 1548018864

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1124633029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10853 MISTFLOWER WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462353563",
            "telephone_number": "317-406-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10853 MISTFLOWER WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462353563",
            "telephone_number": "317-406-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUS",
        "first_name": "KANEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "20014891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Paige Burroughs
• Andrea Joy Burrow, OTR
• Amanda Burrows
• Martha Burrows
• Arial Renee' Burrus, PHARMD
• Anna Ruth Burse, LSW, LCSW
• Ashley Burse
• Mary Frances Burt, LCSW, LMFT, CAS
• Michael Burt, MD
• Penny Darnell Burt

• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.