NPIMap

Organization Active NPI

Successful Minds LLC

Doing business as Annette W. Burston

  • Early Intervention Provider Agency
  • Cherryville, NC
National Provider Identifier
1700225307
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SUCCESSFUL MINDS LLC
Doing business as
Annette W. Burston
Practice address
2134 Capernium Rd TRLR 2
Cherryville, NC 28021-9404
Phone
(704) 620-2575
NPI assigned
Jun 18, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Ms. Annette W. Burston, MASTER'S EDUCATION
Title
Owner
Phone
(704) 620-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NC Primary

Addresses

Primary practice location

2134 Capernium Rd TRLR 2
Cherryville, NC 28021-9404

Mailing address

2134 Capernium Rd TRLR 2
Cherryville, NC 28021-9404
Phone (704) 620-2575

Other names 1

  • Annette W. Burston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Successful Minds LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1700225307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 CAPERNIUM RD TRLR 2",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280219404",
            "telephone_number": "704-620-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 CAPERNIUM RD TRLR 2",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280219404",
            "telephone_number": "704-620-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BURSTON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-620-2575",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER'S EDUCATION"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annette W. Burston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherryville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.