Individual provider Active NPI

Charmaine E Davis Burton

  • Religious Nonmedical Health Care Institution
  • Stroudsburg, PA
National Provider Identifier
1336661123
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
License
00000000000 Issued in PA
Practice address
710 Avenue C
Stroudsburg, PA 18360-1957
Phone
(570) 801-0801
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Health Care Institution 282J00000X 00000000000 PA Primary

Addresses

Primary practice location

710 Avenue C
Stroudsburg, PA 18360-1957

Mailing address

710 Avenue C
Stroudsburg, PA 18360-1957

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

LicenseStateTypeSpecialty
00000000000PAMDReligious Nonmedical Health Care Institution

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1336661123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 AVENUE C",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 AVENUE C",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601957",
            "telephone_number": "570-801-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS BURTON",
        "first_name": "CHARMAINE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "PA",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.