Mya A Burgoon

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

Practice address

8000 Johnson Creek Rd
Charlotte, NC 28215-9403

Phone

(704) 258-8439

NPI assigned

Apr 2, 2021

Last updated

Apr 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1699354258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 JOHNSON CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159403",
            "telephone_number": "704-258-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 JOHNSON CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159403",
            "telephone_number": "704-258-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOON",
        "first_name": "MYA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn T Burgess, MD
• William Patrick Burgess, MD
• Kenneth Benjamin Burgett, PA-C
• Tara Blalock Burgher, DO
• S Beth Burgin, CERTIFIED ROLFER
• Sandra Patricia Burgos Mora, BCBA
• George A Burhans, CRNA
• Alexzandria Messer Burick, PA
• Nancy Kathleen Burk, PTA
• Anne Fenton Burkart, LCAS-A

• Lay Midwife in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Lay Midwife in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.