NPIMap

Individual provider Active NPI

Jennifer L Burns, M.D.

  • Pediatric Adolescent Medicine Physician
  • Frederick, MD
National Provider Identifier
1437141256
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D0061468 Issued in MD
Practice address
3534 Urbana Pike Ste a
Frederick, MD 21704-7786
Phone
(240) 341-1090
Fax
(240) 341-1105
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0061468 MD Primary

Addresses

Primary practice location

3534 Urbana Pike Ste a
Frederick, MD 21704-7786

Mailing address

3534 Urbana Pike Ste a
Frederick, MD 21704-7786
Phone (240) 341-1090

Other practice location 1

3534 Urbana Pike Ste A
Frederick, MD 21704-7786
Phone (240) 341-1090

Other identifiers 1

IdentifierTypeStateIssuer
402424901MedicaidMD

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0061468MDMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Urbana Pediatrics, LLC PastSince Jul 25, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19052/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1437141256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 URBANA PIKE STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047786",
            "telephone_number": "240-341-1090",
            "fax_number": "240-341-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 URBANA PIKE STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047786",
            "telephone_number": "240-341-1090",
            "fax_number": "240-341-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3534 Urbana Pike Ste A",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047786",
            "country_code": "US",
            "telephone_number": "240-341-1090",
            "fax_number": "240-341-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0061468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402424901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.