Active NPI
Joyce Burns
- Registered Nurse
- South Haven, MI
National Provider Identifier
1609242734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704139186
- Practice address
- 532 Dyckman Ave
Unit a
South Haven, MI 49090-2509 - Phone
- (269) 693-7323
- NPI assigned
- Aug 12, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704139186 | MI | Primary |
Addresses
Primary practice location
532 Dyckman Ave
Unit a
South Haven, MI 49090-2509
Mailing address
532 Dyckman Ave
Unit a
South Haven, MI 49090-2509
Phone (269) 693-7323
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 |
|---|---|---|---|
| 4704139186 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1609242734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 DYCKMAN AVE",
"address_2": "UNIT A",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490902509",
"telephone_number": "269-693-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 DYCKMAN AVE",
"address_2": "UNIT A",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490902509",
"telephone_number": "269-693-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704139186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.