Active NPI
Demarcus Deonta Burdette, PSS
- Peer Specialist
- Lexington, KY
National Provider Identifier
1366339707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 736 Burgess Ave
Lexington, KY 40511-1571 - Phone
- (859) 536-2146
- NPI assigned
- Jun 19, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | KY | Primary |
Addresses
Primary practice location
736 Burgess Ave
Lexington, KY 40511-1571
Mailing address
236 San Antonio Way
Nicholasville, KY 40356-3014
Phone (859) 536-2146
Other practice location 1
236 San Antonio Way
Nicholasville, KY 40356-3014
Phone (859) 536-2146
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Doors of Hope | Current | 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.
-
- Clinical Social Worker
- Lexington, KY
- NPI 1487279204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1366339707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 SAN ANTONIO WAY",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403563014",
"telephone_number": "859-536-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 BURGESS AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111571",
"telephone_number": "859-536-2146"
}
],
"practiceLocations": [
{
"address_1": "236 San Antonio Way",
"address_purpose": "LOCATION",
"city": "Nicholasville",
"state": "KY",
"postal_code": "403563014",
"country_code": "US",
"telephone_number": "859-536-2146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDETTE",
"first_name": "DEMARCUS",
"middle_name": "DEONTA",
"credential": "PSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.