Latasha R Burgess

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

13720 Old Saint Augustine Rd Ste 8-236
Jacksonville, FL 32258-7414

Phone

(866) 974-6632

Fax

(866) 974-6632

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• One Call Away Home Care & Staffing LLC

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
  • NPI 1184387722
  NPD Authorized official
• One Call Away Home Care & Staffing LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1427725837
  NPD Authorized official
• One Call Away Labs Services

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1558015933
  NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1326681198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 OLD ST AUGUSTINE RD STE 8-236",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587414",
            "telephone_number": "866-974-6632",
            "fax_number": "866-974-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 OLD SAINT AUGUSTINE RD STE 8-236",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587414",
            "telephone_number": "866-974-6632",
            "fax_number": "866-974-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LATASHA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conekia Marshea Burgess, MSN RN APRN FNP-C
• Eddy D Burgess, CRNA
• Gary R. Burgess, PA-C
• James Burgess, M.B.B.S.
• Janelle Burgess, MPH
• Lyza Julliet Burgess, APRN
• Nasheed Burgess, PA-C
• Salena Burgess, BA
• Kimberly Edwards Burgin, LPN
• Stephanie Elyse Burgin, M.S., B.C.B.A.

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.