Active NPI
Jocelyn Judith Burdick, LMT
- Contractor
- Eugene, OR
National Provider Identifier
1225378706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 19514
- Practice address
- 301 W 5TH Ave Ste B
Eugene, OR 97401-2506 - Phone
- (541) 687-9097
- NPI assigned
- Feb 21, 2013
- Last updated
- Feb 21, 2013
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 19514 | OR | Primary |
Addresses
Primary practice location
301 W 5TH Ave Ste B
Eugene, OR 97401-2506
Mailing address
1601 Olive St Apt 1112
Eugene, OR 97401-3986
Phone (541) 505-1955
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 |
|---|---|---|---|
| 19514 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1225378706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OLIVE ST APT 1112",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013986",
"telephone_number": "541-505-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W 5TH AVE STE B",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012506",
"telephone_number": "541-687-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "JOCELYN",
"middle_name": "JUDITH",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "19514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.