Leon Burden

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

704 Wren St
Lumberton, NC 28358-4162

Phone

(910) 736-2135

NPI assigned

Jan 5, 2016

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colors of Life Community Development

  • Case Manager/Care Coordinator
  • Lumberton, NC
  • NPI 1770949992

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1770949844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WREN ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584162",
            "telephone_number": "910-736-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WREN ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584162",
            "telephone_number": "910-736-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "LEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770949992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikki Venise Bullard, LPC
• Theresa Bullard, MD
• Tina Alexander Bullard, RPH
• Leah Opal Bumbarger, DO
• Leantra Burden
• Shauna Burke
• Barbara Mayer Butler, MS, CCC-SLP
• Sabel Butler
• Dustan Phillip McNeil Byrd, PHARM.D.
• Jennifer Yarborough Byrd

• Community Health Worker in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.