Individual provider Active NPI

Maria Ariella Burgesen, CNA, HHA

  • Home Health Aide
  • Oakdale, MN
National Provider Identifier
1679088660
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
00283861 Issued in CA
Practice address
4852 Hillvale Ave N
Oakdale, MN 55128-2237
Phone
(651) 983-9266
Fax
(651) 983-9266
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 00283861 CA Primary
Nurse's Aide 376K00000X 00908686 CA

Addresses

Primary practice location

4852 Hillvale Ave N
Oakdale, MN 55128-2237

Mailing address

9344 Winding Oak Dr
Fair Oaks, CA 95628-4156
Phone (651) 983-9266

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
00283861CAMDHome Health Aide
00908686CAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1679088660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 WINDING OAK DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284156",
            "telephone_number": "651-983-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 HILLVALE AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551282237",
            "telephone_number": "651-983-9266",
            "fax_number": "651-983-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESEN",
        "first_name": "MARIA",
        "middle_name": "ARIELLA",
        "name_prefix": "Ms.",
        "credential": "CNA, HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "00283861",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00908686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.