Active NPI
Tina Burleigh, RN
- Registered Nurse
- Waverly, OH
National Provider Identifier
1205231289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.408134
- Practice address
- 4224 Clines Chapel Rd
Waverly, OH 45690-9117 - Phone
- (740) 835-8668
- Fax
- (740) 835-8668
- NPI assigned
- Nov 3, 2014
- Last updated
- Mar 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | RN.408134 | OH | |
| Registered Nurse | 163W00000X | RN.408134 | OH | Primary |
Addresses
Primary practice location
4224 Clines Chapel Rd
Waverly, OH 45690-9117
Mailing address
4224 Clines Chapel Rd
Waverly, OH 45690-9117
Phone (740) 835-8668
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.408134 | OH | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1205231289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4224 CLINES CHAPEL RD",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909117",
"telephone_number": "740-835-8668",
"fax_number": "740-835-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 CLINES CHAPEL RD",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909117",
"telephone_number": "740-835-8668",
"fax_number": "740-835-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLEIGH",
"first_name": "TINA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "OH",
"license": "RN.408134",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.408134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.