Active NPI
Lisa Keating Burris, PA
- Student in an Organized Health Care Education/Training Program
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1225 Graham Rd
Florissant, MO 63031-8012 - Phone
- (314) 953-6000
- NPI assigned
- Sep 28, 2021
- Last updated
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2022001190 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1225 Graham Rd
Florissant, MO 63031-8012
Mailing address
3312 Saint Charles Rd
Columbia, MO 65201-6657
Phone (636) 485-9368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022001190 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
MO
-
- Emergency Medicine Physician
- Richmond Heights, MO
- NPI 1942855366
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1124790142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 SAINT CHARLES RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016657",
"telephone_number": "636-485-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 GRAHAM RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318012",
"telephone_number": "314-953-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "LISA",
"middle_name": "KEATING",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2022001190",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
- Burns LLC (Burns Chiropractic Spine and Joint Injury Center)
- Burns LLC (Burns Chiropractic Spine and Joint Injury Center)
- Ny'Sha Burns-Baxley
- Jasmine Shantelle Burns, LPN
- Natasha Burns
- Tasha L Burtin
- Busy Hands Across America LLC (Busy Hands In-Homecare LLC)
- Felicia Butler, NP
- C and M Medical Group PC
- C&C Cilinical Solutions Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.