Active NPI
Rexford Forrest Burnette, PH.D.
- Clinical Psychologist
- Bristol, NH
National Provider Identifier
1689733644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 893
- Practice address
- 5 Pleasant St.
Suite a
Bristol, NH 03222-3002 - Phone
- (603) 744-5519
- Fax
- (603) 523-9919
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 893 | NH | Primary |
Addresses
Primary practice location
5 Pleasant St.
Suite a
Bristol, NH 03222-3002
Mailing address
6 Turnpike Rd
Grafton, NH 03240-3719
Phone (603) 523-9002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30002566 | Medicaid | NH |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 893 | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689733644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TURNPIKE RD",
"city": "GRAFTON",
"state": "NH",
"postal_code": "032403719",
"telephone_number": "603-523-9002",
"fax_number": "603-523-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PLEASANT ST.",
"address_2": "SUITE A",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032223002",
"telephone_number": "603-744-5519",
"fax_number": "603-523-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "REXFORD",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30002566",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.