Active NPI
Tandra F Burns, BA
- Case Manager/Care Coordinator
- Port St Joe, FL
National Provider Identifier
1235654054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 212 W Highway 98 Ste C
Port St Joe, FL 32456-1301 - Phone
- (850) 705-1766
- Fax
- (850) 705-1766
- NPI assigned
- Aug 14, 2017
- Last updated
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
212 W Highway 98 Ste C
Port St Joe, FL 32456-1301
Mailing address
PO Box 43
Port St Joe, FL 32457-0043
Phone (850) 348-3166
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoples Health Care Connection, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Morning Light Counseling Options, LLC
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1497913883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1235654054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "PORT ST JOE",
"state": "FL",
"postal_code": "324570043",
"telephone_number": "850-348-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W HIGHWAY 98 STE C",
"city": "PORT ST JOE",
"state": "FL",
"postal_code": "324561301",
"telephone_number": "850-705-1766",
"fax_number": "850-705-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "TANDRA",
"middle_name": "F",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Joe, FL
- Ellen Berkowitz, MD
- Rachel Marie Bixler, M.D.
- Board of County Commissioners Gulf County (Gulf County EMS)
- Alexandra Boulanger, RBT
- Brittny Brown, PHELCOTOMIST
- William Rex Buzzett
- Candi Calderon, CPNP
- Efren Carbonell, M.D.
- Betty June Causey, LPN
- Center for Aging and Rehabilitation of Gulf County Inc (Gulf Shores Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.