Active NPI
Frednisha Burgess, CMA
- Community Health Worker
- Lexington, KY
National Provider Identifier
1437984077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2969720
- Practice address
- 1351 Newtown Pike BLDG 5
Lexington, KY 40511-1282 - Phone
- (859) 253-1686
- NPI assigned
- Sep 4, 2024
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2969720 | KY | Primary |
Addresses
Primary practice location
1351 Newtown Pike BLDG 5
Lexington, KY 40511-1282
Mailing address
1351 Newtown Pike BLDG 5
Lexington, KY 40511-1282
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
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2969720 | KY | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1437984077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE BLDG 5",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE BLDG 5",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111282",
"telephone_number": "859-253-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "FREDNISHA",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "KY",
"license": "2969720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.