Jill M Burnham, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

672999 Issued in NY

Practice address

9 Hill Ave
Corinth, NY 12822-1313

Phone

(254) 285-8665

NPI assigned

May 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1497310874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HILL AVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221313",
            "telephone_number": "254-285-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HILL AVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221313",
            "telephone_number": "254-285-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "672999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Leon Alfert, DMD
• Bari J Bannister
• Donna J Briner, RN
• Jacklynn V. Brown, RPA-C
• Robert B Carney, PHYSICAL THERAPIST
• Corinth Central School
• Corinth Emergency Squad Inc
• Christopher Matthew Debiec
• Marguerite M. Dusha, APRN, ANP-BC, FNP-BC

• All providers in Corinth, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.