Syreeta Lashay Burch

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

2149 Wiley Oaks LN
Jacksonville, FL 32210-2692

Phone

(904) 570-6863

NPI assigned

Mar 13, 2019

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

Other identifiers 1

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1710446471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 WILEY OAKS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102692",
            "telephone_number": "904-570-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 WILEY OAKS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102692",
            "telephone_number": "904-570-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "SYREETA",
        "middle_name": "LASHAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833761470",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Leigh Burch Barnikel, M.D.
• Darlene Burch, PMHNP-BC
• Jamilya Burch
• Jasmine Burch, RN
• Loveann Burch, PA
• Vivian Watson Burch, MASTER LEVEL, C.A.P.
• Teena Maria Burchianti, ARNP
• Christina Burciaga, M.S.
• Lindsay Anne Burden, ARNP
• Rebecca Smith Burden, AUD

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.