Angelica Lynne Rachel Marie Bursey

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

945 Hazel Ave
San Bernardino, CA 92410-2713

Phone

(909) 894-6420

NPI assigned

Apr 24, 2025

Last updated

Apr 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Prismatic Bodies LLC

  • Case Management Agency
  • San Bernardino, CA
  • NPI 1083570154
  NPD Authorized official

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1609663442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HAZEL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HAZEL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102713",
            "telephone_number": "909-894-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSEY",
        "first_name": "ANGELICA",
        "middle_name": "LYNNE RACHEL MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vani Burnette, LMFT
• Crystal Veronica Burns
• John Robert Burns, MBA, CSAC
• Kayla Burse
• Regina Burse
• Ananda Burson
• Koliqwa Burton
• Ronald Floyd Burton, MD
• Stephen Burwell
• Brian Michael Bush, DO

• Doula in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Doula in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.