Wriley Jay Burnett

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3867 Issued in NM

Practice address

4904 Palo Alto Ave SE
Albuquerque, NM 87108-3528

Phone

(505) 239-2756

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1689178287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51836",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871811836",
            "telephone_number": "505-385-8028",
            "fax_number": "855-254-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 PALO ALTO AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083528",
            "telephone_number": "505-239-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "WRILEY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69727058",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Ianne Burnett, NCC, LMHC
• Sarah L Burnett, NP
• Tanya Burnett
• Terresa K Burnett, RN
• William D Burnett Jr., DDS
• Courtney Burnette
• Chantelle Latrice Burney, BSW
• Dwight W Burney III, M.D.
• Tyson Scott Burnham
• Younhee Burningham

• Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.