Individual provider Active NPI

Rhonda Lynn Burden, CSFA, KCSA

  • Surgical Assistant
  • Shelbyville, KY
National Provider Identifier
1417542739
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA313 Issued in KY
Practice address
2777 Brassfield Cir
Shelbyville, KY 40065-9056
Phone
(502) 321-3555
Fax
(502) 633-2258
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA313 KY Primary

Addresses

Primary practice location

2777 Brassfield Cir
Shelbyville, KY 40065-9056

Mailing address

2777 Brassfield Cir
Shelbyville, KY 40065-9056
Phone (502) 321-3555

Other identifiers 1

IdentifierTypeStateIssuer
177771OtherNBSTSA

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
SA313KYMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1417542739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 BRASSFIELD CIR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659056",
            "telephone_number": "502-321-3555",
            "fax_number": "502-633-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 BRASSFIELD CIR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659056",
            "telephone_number": "502-321-3555",
            "fax_number": "502-633-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CSFA, KCSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA",
            "identifier": "177771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.