Eva Reginaldo Basmayor-Burrows

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AF00309513 Issued in MI

Practice address

17653 Hiawatha Dr
Spring Lake, MI 49456-9405

Phone

(616) 502-6806

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1144954231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17653 HIAWATHA DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569405",
            "telephone_number": "616-502-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17653 HIAWATHA DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569405",
            "telephone_number": "616-502-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASMAYOR-BURROWS",
        "first_name": "EVA",
        "middle_name": "REGINALDO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AF00309513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Auffrey, PH.D
• Matthew Austin, PT, DPT
• Lisa Susanne Baillargeon, CCC-SLP
• Balance in Life PLC
• Tabatha Jean Barber, D.O.
• Eric J Bastian, DPT
• Kathleen Ann Bates, APRN-BC
• Ben Esh-Nauta
• Julie A Bench, PT
• Lydia Bender

• Foster Care Agency in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.