Active NPI
Amy Burns
- Occupational Therapist
- Clarksburg, WV
National Provider Identifier
1497463301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 984
- Practice address
- 2673 Davisson Run Rd
Clarksburg, WV 26301-6838 - Phone
- (304) 624-2424
- NPI assigned
- Nov 9, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 984 | WV | Primary |
Addresses
Primary practice location
2673 Davisson Run Rd
Clarksburg, WV 26301-6838
Mailing address
2673 Davisson Run Rd
Clarksburg, WV 26301-6838
Phone (168) 134-2320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984 | Medicaid | WV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Amy.burns@wvumedicine.org | Direct | |
| Direct Messaging Address | Amy.burns@wvumedicine.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 984 | WV | MD | Professional Counselor |
Interoperability endpoints
- amy.burns@wvumedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1497463301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 DAVISSON RUN RD",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263016838",
"telephone_number": "168-134-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2673 DAVISSON RUN RD",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263016838",
"telephone_number": "304-624-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "984",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Amy.burns@wvumedicine.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2673 Davisson Run Rd",
"city": "Clarksburg",
"state": "WV",
"country_code": "US",
"postal_code": "263016838",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Amy.burns@wvumedicine.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2673 Davisson Run Rd",
"city": "Clarksburg",
"state": "WV",
"country_code": "US",
"postal_code": "263016838",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.