Jeremy K Burton

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

200 E Frazier Ave
Columbia, KY 42728-1915

Phone

(270) 384-4719

Fax

(270) 384-4820

NPI assigned

Sep 9, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD
• Lake Cumberland Regional MHMR Board Outpatient

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1992831713
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1194330985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E FRAZIER AVE",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281915",
            "telephone_number": "270-384-4719",
            "fax_number": "270-384-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JEREMY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easton Bryant, PHARMD
• Angela Burris
• Kayla Danielle Burris, BA
• Jacob Burton, O.D
• Jennifer L Burton
• Rachel Cain
• Heather Jade Cape, MS, CCC/SLP
• Cardiovascular Associates PSC
• Stephanyie Kimberly Carter, APRN
• Chaos Haven Counseling, LLC

• All providers in Columbia, KY
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.