Veronica Burnette, OWNER ADULT MEDICAL

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

R135126 Issued in MD

Practice address

1500 Country Ridge LN
Essex, MD 21221-3906

Phone

(410) 871-0101

NPI assigned

Jan 18, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tender Care Adult Medical Daycare

  • Developmentally Disabled Services Day Training Agency
  • Essex, MD
  • NPI 1861144560
  NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1134870421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 ROLLING VISTA CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363643",
            "telephone_number": "443-983-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COUNTRY RIDGE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "410-871-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "VERONICA",
        "credential": "OWNER ADULT MEDICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": "R135126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7806 Rolling Vista Ct",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212363643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justus Emmanuel Brown, DPT
• Kenya Brown, LCSW-C
• Sheila Kathy Brown, R.N.
• Tamara Buck
• Shawn Budge, DVM
• Juan Lee Campbell
• Capricorn Health LLC
• Levon Carrington, CAC-AD
• Certified Home Nursing Solutions, LLC
• Chesapeake Aed Services

• Intellectual & Developmental Disabilities Psychologist in Essex, MD
• Providers in Essex, MD by specialty
• Intellectual & Developmental Disabilities Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.