Khrystian M Burgman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2944 Galena Peak LN
Las Vegas, NV 89156-3727

Phone

(702) 556-2158

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Khrystian M Porter Former name

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1265795686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 GALENA PEAK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 GALENA PEAK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563727",
            "telephone_number": "702-556-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGMAN",
        "first_name": "KHRYSTIAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHRYSTIAN",
            "last_name": "PORTER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Michelle Burgett
• Allen Burggraf
• Emily Jo Burggraf, LCSW
• Naomi Burgher, CCC-MS
• Tracy Burgin
• Leonor Burgos Barojas
• Cristina Isabel Burgos Mendoza
• Angelica Burgos
• Giovanni Anthony Burgos, MD
• Jenica Leigh Burgos

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.