Individual provider Active NPI

Kristian Leighann Miller Burnfin, L.M.T.

  • Reflexologist
  • Leesburg, GA
National Provider Identifier
1710228127
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MT008611 Issued in GA
Practice address
604 Creekside Dr
Leesburg, GA 31763-4802
Phone
(229) 214-2663
Fax
(229) 888-7590
NPI assigned
Mar 11, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MT008611 GA Primary

Addresses

Primary practice location

604 Creekside Dr
Leesburg, GA 31763-4802

Mailing address

604 Creekside Dr
Leesburg, GA 31763-4802
Phone (229) 214-2663

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
MT008611GAMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1710228127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CREEKSIDE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634802",
            "telephone_number": "229-214-2663",
            "fax_number": "229-888-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CREEKSIDE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634802",
            "telephone_number": "229-214-2663",
            "fax_number": "229-888-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER BURNFIN",
        "first_name": "KRISTIAN",
        "middle_name": "LEIGHANN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT008611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.