Alexis Danielle Burgess

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322214 Issued in NY

Practice address

290 Meadow Farm
North Chili
North Chili, NY 14514-1319

Phone

(585) 358-8155

NPI assigned

Nov 21, 2016

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1164965323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MEADOW FARM NORTH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "145141319",
            "telephone_number": "585-358-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MEADOW FARM",
            "address_2": "NORTH CHILI",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141319",
            "telephone_number": "585-358-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ALEXIS",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Baran, M.S.
• Crystal Bateman, NP
• Tinisha Yvette Baxter, RN
• Nicole Bonin
• Charles Lewis Bruehl, MD
• Hui Ruth Cai, M.D.
• Camarata Chiropractic PLLC
• Canandaigua Physical Therapy P.C.
• Tara Michelle Carr, LPN
• Joseph Raymond Carroll, DC

• Licensed Practical Nurse in North Chili, NY
• Providers in North Chili, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.