Individual provider Active NPI

Taraneisha Ryshan Burgess, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1316397912
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9313658 Issued in FL
Practice address
2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413
Phone
(561) 841-6960
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9313658 FL Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413

Mailing address

2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413
Phone (561) 841-6960

Other practice location 1

1537 43rd St
West Palm Beach, FL 33407-3607
Phone (561) 602-2682

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Consulting Associates LLC CurrentSince Nov 16, 2017 Accepting new patients
Prohealth Select, Inc. PastSince Dec 17, 2020 Accepting new patients

Locations

3143 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 343-1365

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1316397912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093413",
            "telephone_number": "561-841-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093413",
            "telephone_number": "561-841-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1537 43rd St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073607",
            "country_code": "US",
            "telephone_number": "561-602-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TARANEISHA",
        "middle_name": "RYSHAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9313658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.