Jeanetta Marie Burrage

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

1847 Wadena St
East Cleveland, OH 44112-4715

Phone

(216) 298-3507

NPI assigned

May 1, 2024

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

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1750138467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 HENRY AARON AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101018",
            "telephone_number": "216-298-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 WADENA ST",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441124715",
            "telephone_number": "216-298-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRAGE",
        "first_name": "JEANETTA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julice Lynn Brinkley
• Akilah Brown
• John D Brownlee, M.D.
• Shamanique Ramika Bryant, STNA
• Benita Willetta Burch, L.P.N
• Kiara Michelle Cadiz-Robles, PSYD
• Deasha Cage
• Anne L Campbell, CNM
• Richard Louis Canaly, LPTA RN BSN NY
• Carrington

• All providers in East Cleveland, OH
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.