Individual provider Active NPI

Alecia Burnett, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1255360756
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7566 Issued in AZ
Practice address
4645 E Broadway Rd
Suite #105
Phoenix, AZ 85040-8879
Phone
(602) 431-6003
Fax
(602) 431-6009
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7566 AZ Primary

Addresses

Primary practice location

4645 E Broadway Rd
Suite #105
Phoenix, AZ 85040-8879

Mailing address

4645 E Broadway Rd
Suite #105
Phoenix, AZ 85040-8879
Phone (602) 431-6003

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

LicenseStateTypeSpecialty
7566AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1255360756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 E BROADWAY RD",
            "address_2": "SUITE #105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408879",
            "telephone_number": "602-431-6003",
            "fax_number": "602-431-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 E BROADWAY RD",
            "address_2": "SUITE #105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408879",
            "telephone_number": "602-431-6003",
            "fax_number": "602-431-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "ALECIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.