Shavon Chanta Burney

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

12337 Wynnfield Lakes Dr Unit 1721
Jacksonville, FL 32246-4272

Phone

(386) 383-0251

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1255819009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 SE DIXIE HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976826",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 WYNNFIELD LAKES DR UNIT 1721",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464272",
            "telephone_number": "386-383-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "SHAVON",
        "middle_name": "CHANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanpaul Margain Burnett, PHARMD
• Omer Lee Burnett Jr., M.D.
• Rebecca Elizabeth Burnett, PT, DPT
• Marrow Burnette, PT, MSPT, OCS, COMT
• Ileish Burney, APRN
• Dorinda L Burnham, LMHC
• Grace Elizabeth Burnham, LMT
• Karen Burnham
• Keith Burnham
• Molly Elizabeth Burnham, COTA

• Other Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.