Active NPI
Kristin Burghard
- Social Worker
- Newark, OH
National Provider Identifier
1740729888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S. 1451334
- Practice address
- 65 Messimer Dr Unit 2
Newark, OH 43055-1899 - Phone
- (419) 545-5130
- NPI assigned
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S. 1451334 | OH | Primary |
Addresses
Primary practice location
65 Messimer Dr Unit 2
Newark, OH 43055-1899
Mailing address
65 Messimer Dr. #2
Neward, OH 43055
Phone (419) 545-5130
Other names 1
- Kristin Burton
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
| License | State | Type | Specialty |
|---|---|---|---|
| S. 1451334 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1740729888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MESSIMER DR. #2",
"city": "NEWARD",
"state": "OH",
"postal_code": "43055",
"telephone_number": "419-545-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MESSIMER DR UNIT 2",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551899",
"telephone_number": "419-545-5130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGHARD",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S. 1451334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BURTON",
"credential": "LSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.