Chevern Burnett, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015391 Issued in NY

Practice address

1184 E 86TH St
Brooklyn, NY 11236-4737

Phone

(347) 672-4485

NPI assigned

Jan 4, 2012

Last updated

Jun 11, 2012By the provider in NPPES

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

Other names 1

• Chevern Francique Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1144590373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 E 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364737",
            "telephone_number": "347-672-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 E 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364737",
            "telephone_number": "347-672-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CHEVERN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEVERN",
            "last_name": "FRANCIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karina Burman, COTA
• Polina Burmin, LMHC
• Tatyana Burmistrova, RN
• Nadia Burnazi, D.O.
• Brandon Anthony Burnett
• Erika Burnett
• Jocelyn Burnett, SOCIAL WORKER
• Raul Burnett Jr.
• Richelle Burnett
• Sharlene C Burnett, CPHT

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.