Sara Elizabeth Burgess, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

392498 Issued in NY

Practice address

21 State St
Middleport, NY 14105-1125

Phone

(716) 799-7534

NPI assigned

Jul 26, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1255855714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STATE ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051125",
            "telephone_number": "716-799-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "392498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Dineen Ash, C.C.C.-S.L.P.
• Shelley S Bath, M.D.
• Kelly Bower, OTR/L
• Christopher August Brighton, PHARMD
• Michael Burns, PHARM.D., MPH
• Matthew Butler, PHARM.D.
• Celeste Stahl Balaban, D.O, PLLC
• Marisa Censi, PHARMD
• Marcy Lynn Coleman, C.O.T.A.

• Basic Emergency Medical Technician in Middleport, NY
• Providers in Middleport, NY by specialty
• Basic Emergency Medical Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.