Active NPI
Jenniffer Ann Burnett
- Specialist
- Placerville, CA
National Provider Identifier
1649574138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9943
- Practice address
- 2914 Cold Springs Rd Ste B
Placerville, CA 95667-4237 - Phone
- (530) 626-9240
- Fax
- (530) 626-8992
- NPI assigned
- Dec 27, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 9943 | CA | Primary |
Addresses
Primary practice location
2914 Cold Springs Rd Ste B
Placerville, CA 95667-4237
Mailing address
2914 Cold Springs Rd Ste B
Placerville, CA 95667-4237
Phone (530) 626-9240
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 |
|---|---|---|---|
| 9943 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress House | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Placerville, CA
- NPI 1346493830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1649574138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 COLD SPRINGS RD STE B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674237",
"telephone_number": "530-626-9240",
"fax_number": "530-626-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 COLD SPRINGS RD STE B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674237",
"telephone_number": "530-626-9240",
"fax_number": "530-626-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "JENNIFFER",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "9943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.