Salena Burgess, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11006782 Issued in FL

Practice address

3487 NW 30TH St
Lauderdale Lakes, FL 33311-1103

Phone

(954) 739-6233

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ma Sal Universal Nursing Realty, LLC.

  • Adult Health Nurse Practitioner
  • Miramar, FL
  • NPI 1982586996
  Medicare reassignment NPD Authorized official
• Elemental Living Inc

  • Chiropractor
  • Coral Gables, FL
  • NPI 1205617404
  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393
  Medicare reassignment NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1639755408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 SW 49TH PL",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274919",
            "telephone_number": "954-985-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 NW 30TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111103",
            "telephone_number": "954-739-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SALENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11006782",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11006782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Jay Brumer, MD
• Jan Scott Buchholz, DC
• Maria Elena Buendia
• Timothy H Bulger III, BCBA
• Isaac Burdeinick, APRN
• Heather Burton
• Jimmy Chie-Young Butt, PHARM.D
• C & J Psychiatric Group LLC
• Sabrina Cadet
• Caduceus Pharmacy II LLC

• Adult Health Nurse Practitioner in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.