Active NPI
Jessica Leann Burleson, COTA/L
- Specialist
- Guin, AL
National Provider Identifier
1376093799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3087
- Practice address
- 251 Sunset PL
Guin, AL 35563-2239 - Phone
- (205) 468-3331
- NPI assigned
- Oct 10, 2016
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3087 | AL | Primary |
Addresses
Primary practice location
251 Sunset PL
Guin, AL 35563-2239
Mailing address
5122 Newburg Rd
Haleyville, AL 35565-6617
Phone (205) 269-9911
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 |
|---|---|---|---|
| 3087 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1376093799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 NEWBURG RD",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355656617",
"telephone_number": "205-269-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 SUNSET PL",
"city": "GUIN",
"state": "AL",
"postal_code": "355632239",
"telephone_number": "205-468-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLESON",
"first_name": "JESSICA",
"middle_name": "LEANN",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "3087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guin, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.