Active NPI
Jessica Erin Buranen
- Social Worker
- Perry Point, MD
National Provider Identifier
1144979337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26743
- Practice address
- 601 Perryville Dr
Perry Point, MD 21902-1111 - Phone
- (410) 642-2411
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26743 | MD | Primary |
Addresses
Primary practice location
601 Perryville Dr
Perry Point, MD 21902-1111
Mailing address
601 Perryville Dr
Perry Point, MD 21902-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26743 | MD | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Vamc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Perry Point, MD
- NPI 1972551596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1144979337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PERRYVILLE DR",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "219021111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PERRYVILLE DR",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "219021111",
"telephone_number": "410-642-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURANEN",
"first_name": "JESSICA",
"middle_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.