Lisa Ann Burgess, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0046625 Issued in MD

Practice address

3514 Sharonwood Rd
Apt 2C
Laurel, MD 20724-2984

Phone

(443) 804-6886

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD
• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD (past)
• For All Seasons, Inc

  • Clinical Social Worker
  • Easton, MD
  • NPI 1619087202
  NPD (past)
• For All Seasons, Inc.

  • Clinical Social Worker
  • Cambridge, MD
  • NPI 1871732693
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1396933735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 SHARONWOOD RD",
            "address_2": "APT 2C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242984",
            "telephone_number": "443-804-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 SHARONWOOD RD",
            "address_2": "APT 2C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242984",
            "telephone_number": "443-804-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0046625",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0046625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Lateefah Bullock, LCPC
• Zainab Bundu
• Chanel Bunting, RN
• Gloria Bupp, OT
• Buprel Health Care Services Inc
• Kelly M Burk
• Niya Lauryn Burrows
• Karley Bush
• Nicole Bushnell, LMSW
• Butler & Davis Consulting LLC

• Psychiatry Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.