Michele Lynn McManter Burnham, M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

812415 Issued in NY

Practice address

1744 W Genesee St
Syracuse, NY 13204-1902

Phone

(315) 468-3414

NPI assigned

Sep 11, 2013

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1417382359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 DEPOT RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219448",
            "telephone_number": "315-730-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "315-468-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANTER BURNHAM",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "812415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Catherine McMahon, FNP
• Catherine Mary McMahon, MSW
• Gerald V. McMahon, M.D.
• Kristen McMahon, OTR/L
• Lauren McMahon, MA
• Mairee Elizabeth McManus, RPA-C
• Melinda B McMinn, MD
• Theressa Dawn Bremer McMorris, LMFT
• Jenica Joy Shipley McMullen, MD
• Sherri McMullen, NP

• Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.