Individual provider Active NPI

Jalik R Burton, CNA

  • Nurse's Aide
  • Glen Allen, VA
National Provider Identifier
1417520784
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
1401167246 Issued in VA
Practice address
2400 Old Brick Rd Ste 62
Glen Allen, VA 23060-5841
Phone
(804) 223-6035
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 1401167246 VA Primary

Addresses

Primary practice location

2400 Old Brick Rd Ste 62
Glen Allen, VA 23060-5841

Mailing address

11331 Parrish Creek LN
Midlothian, VA 23112-3183
Phone (804) 662-0940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contactus@primelinkmedicalcare.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
1401167246VAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Primelink Medical Care CurrentSince Jul 25, 2021 Accepting new patients

Locations

2400 Old Brick Rd
Ste 62
Glen Allen, VA 23060
Phone (804) 223-6035

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1417520784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 PARRISH CREEK LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123183",
            "telephone_number": "804-662-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OLD BRICK RD STE 62",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605841",
            "telephone_number": "804-223-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JALIK",
        "middle_name": "R",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401167246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@primelinkmedicalcare.com",
            "affiliation": "N",
            "endpointDescription": "secure email box strictly for each serves.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2400 Old Brick Rd Ste 62",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230605841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.