Lisa Burbage

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Practice address

14 Lockwood Dr Apt 12G
Charleston, SC 29401-1138

Phone

(843) 442-8909

NPI assigned

Jan 24, 2018

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

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1174021265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LOCKWOOD DR APT 12G",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011138",
            "telephone_number": "843-442-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LOCKWOOD DR APT 12G",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011138",
            "telephone_number": "843-442-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBAGE",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ellen Bunting, ARNP, FNP-BC
• Lindsey Bunting, RN
• Troy Augustus Bunting, MD
• Amanda Lynn Burand, PHARM.D.
• Gloria Burbage, CRNA
• Henry Joseph Burchett, MD
• Laura Gayle Burdette, MD
• Haley Burdge, MD
• Diane Lindsey Burdsal, AGPCNP
• Tyler Joseph Burg, PA-C

• Health Maintenance Organization in Charleston, SC
• Providers in Charleston, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.