Individual provider Active NPI

Jeannine Andre-Burns, MS, CNS, CDN

  • Nutrition Education Nutritionist
  • Milford, CT
National Provider Identifier
1487083762
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
48007904 Issued in NY
Practice address
45 Joy Rd Apt C
Milford, CT 06460-6043
Phone
(086) 030-5442
NPI assigned
Nov 6, 2013
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 48007904 NY Primary

Addresses

Primary practice location

45 Joy Rd Apt C
Milford, CT 06460-6043

Mailing address

45 Joy Rd Apt C
Milford, CT 06460-6043
Phone (086) 030-5442

Other practice location 1

1530 Union St
Brooklyn, NY 11213-4501
Phone (860) 305-4425

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL jeannineandreburns@gmail.com
CONNECT URL jeannineandreburns@gmail.com

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)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
007904NYMDMental Health Counselor
48007904NYMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeannine Andre-Burns Nutrition Services, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1487083762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 JOY RD APT C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606043",
            "telephone_number": "086-030-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 JOY RD APT C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606043",
            "telephone_number": "086-030-5442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Union St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112134501",
            "country_code": "US",
            "telephone_number": "860-305-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRE-BURNS",
        "first_name": "JEANNINE",
        "credential": "MS, CNS, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2022-12-27",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "48007904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeannineandreburns@gmail.com",
            "affiliation": "N",
            "address_1": "45 Joy Rd Apt C",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064606043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeannineandreburns@gmail.com",
            "affiliation": "N",
            "address_1": "45 Joy Rd Apt C",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064606043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.