Alphia Ramona Burgess

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

Team Wellness Center
2925 Russell Street
Detroit, MI 48207

Phone

(313) 396-5300

NPI assigned

Jun 24, 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

Other names 1

• Mrs. Alphia Ramona Burgess Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Medical Center of Michigan

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1225781230
  NPD (past)
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Temperance, MI
  • NPI 1265591812
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1568023349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 SHADY LANE AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803381",
            "telephone_number": "313-657-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEAM WELLNESS CENTER",
            "address_2": "2925 RUSSELL STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-396-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ALPHIA",
        "middle_name": "RAMONA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALPHIA",
            "last_name": "BURGESS",
            "middle_name": "RAMONA",
            "prefix": "MRS.",
            "credential": "LLBSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cheryl Nannette Burden, BS
• Evangeline V Burden, LMSW
• Morgan Burdette
• Judith Burford
• Mackenzie Burger, MD
• Ashley Burgess
• Francine D Burgess, DPT
• Henry Matthew Burghardt, DO
• Burhani Labs Inc
• Donita Jeanae Burk

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.