Active NPI
Tamara Burgess, RN
- Nephrology Registered Nurse
- Greenbelt, MD
National Provider Identifier
1730713041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Registered Nurse
- License
- R242752
- Practice address
- 7321 Hanover Pkwy Ste a
Greenbelt, MD 20770-3616 - Phone
- (301) 474-1324
- Fax
- (301) 474-1327
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | R242752 | MD | Primary |
Addresses
Primary practice location
7321 Hanover Pkwy Ste a
Greenbelt, MD 20770-3616
Mailing address
6405 Good Luck Rd
Riverdale, MD 20737-1621
Phone (202) 907-7308
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R242752 | MD | MD | Nephrology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1730713041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 GOOD LUCK RD",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371621",
"telephone_number": "202-907-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7321 HANOVER PKWY STE A",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703616",
"telephone_number": "301-474-1324",
"fax_number": "301-474-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "TAMARA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "MD",
"license": "R242752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.