Individual provider Active NPI

Amy Marie Burgess, SWT

  • Student in an Organized Health Care Education/Training Program
  • Toledo, OH
National Provider Identifier
1629570411
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
S2604868 Issued in OH
Practice address
5726 Southwyck Blvd Ste 200
Toledo, OH 43614-1510
Phone
(419) 214-1766
Fax
(419) 214-1792
NPI assigned
Mar 7, 2018
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S2604868 OH Primary

Addresses

Primary practice location

5726 Southwyck Blvd Ste 200
Toledo, OH 43614-1510

Mailing address

5726 Southwyck Blvd Ste 200
Toledo, OH 43614-1510
Phone (419) 214-1766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.burgess@outlook.com 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

LicenseStateTypeSpecialty
S2604868OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1629570411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "SWT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "S2604868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.burgess@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5726 Southwyck Blvd Ste 200",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436141510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.