Active NPI
Jacqueline Renae Burgess, LM, CPM
- Midwife
- Reno, NV
National Provider Identifier
1326415951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM661
- Practice address
- 7693 S. Virginia St.
Reno, NV 89511-1114 - Phone
- (775) 480-9241
- Fax
- (775) 418-0430
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM661 | CA | Primary |
Addresses
Primary practice location
7693 S. Virginia St.
Reno, NV 89511-1114
Mailing address
7693 S. Virginia St.
Reno, NV 89511-1114
Phone (239) 699-8718
Other names 1
- Jackie Renae Crane
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM661 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Medical Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Birthing Clinic/Center
- Reno, NV
- NPI 1811712748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1326415951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7693 S. VIRGINIA ST.",
"city": "RENO",
"state": "NV",
"postal_code": "895111114",
"telephone_number": "239-699-8718",
"fax_number": "775-418-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7693 S. VIRGINIA ST.",
"city": "RENO",
"state": "NV",
"postal_code": "895111114",
"telephone_number": "775-480-9241",
"fax_number": "775-418-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JACQUELINE",
"middle_name": "RENAE",
"name_prefix": "Ms.",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACKIE",
"last_name": "CRANE",
"middle_name": "RENAE",
"credential": "LM, CPM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.