Leticia L Burdumy, R..N

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

318745 Issued in CA

Practice address

117 W Bunny Ave
Santa Maria, CA 93458-2805

Phone

(805) 739-3890

NPI assigned

Jan 10, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1306022132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 PRICE ST # 192",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492529",
            "telephone_number": "805-773-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W BUNNY AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582805",
            "telephone_number": "805-739-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDUMY",
        "first_name": "LETICIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R..N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "318745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.N. LICENSE",
            "identifier": "318745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Igor V Bulatov, MD
• Bianca Bull, PA-C
• Debra Bulley
• Leah Bunch
• Daniel Buratto
• Theodore J Burdumy, MD
• Samuel B. Burg, D.D.S.
• John M Burgess, HA
• Pamela B Burgess, AUDIOLOGIST
• Justin A Burke

• Diabetes Educator Registered Nurse in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.