Active NPI
Petey Dunbar Burnett-Silveira, MED
- Marriage & Family Therapist
- Longwood, FL
National Provider Identifier
1417067166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT0001049
- Practice address
- 2989 W Sr 434
Ste 500
Longwood, FL 32779 - Phone
- (407) 682-7900
- Fax
- (407) 862-2728
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT0001049 | FL | Primary |
Addresses
Primary practice location
2989 W Sr 434
Ste 500
Longwood, FL 32779
Mailing address
2989 W Sr 434
Ste 500
Longwood, FL 32779
Phone (407) 682-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001049 | Other | FL | LMFT |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0001049 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417067166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989 W SR 434",
"address_2": "STE 500",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32779",
"telephone_number": "407-682-7900",
"fax_number": "407-862-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 W SR 434",
"address_2": "STE 500",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32779",
"telephone_number": "407-682-7900",
"fax_number": "407-862-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT-SILVEIRA",
"first_name": "PETEY",
"middle_name": "DUNBAR",
"name_prefix": "Mrs.",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT0001049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "0001049",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.