Jeremy Burress

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

2451 Seabring Dr
Lake Havasu City, AZ 86403-3156

Phone

(928) 846-6397

NPI assigned

May 13, 2016

Sex

Male

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

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1407202989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 SEABRING DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033156",
            "telephone_number": "928-846-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 SEABRING DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033156",
            "telephone_number": "928-846-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRESS",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buena Suerte, Inc.
• Ryan Newell Bullen, DMD, DHSC
• Rhett Melvin Burgener, OD
• Derek M Burnett, MD
• Lynn Marie Burns, RN
• Burt Faibisoff, MD, PLLC
• Emma Jo Busto
• Nicole B. Buth, MS, CF-SLP
• Monica Raquel Byers, RN
• C2C Public Safety LLC

• Electroneurodiagnostic Specialist/Technologist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Electroneurodiagnostic Specialist/Technologist in Arizona

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

Verify at the official NPI Registry.