Destiny Suncere'Ray Burroughs, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

316500 Issued in NC

Practice address

308 Hay St Ste B
Fayetteville, NC 28301-5574

Phone

(910) 518-8227

NPI assigned

May 5, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Live-to-Hydrate, LLC

  • Infusion Therapy Registered Nurse
  • Fayetteville, NC
  • NPI 1215673074
  NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1780320523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20004",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016551",
            "telephone_number": "910-518-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HAY ST STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015574",
            "telephone_number": "910-518-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "DESTINY",
        "middle_name": "SUNCERE'RAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NC",
            "license": "316500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Burns, OTR/L
• Kaylee Burns
• Shira Burns
• Nykeia Burris, MOT, OTR/L
• Cameron Burroughs
• Jinaki M Burroughs
• Andrew Curtis Burton, DDS
• Aressa Burton
• Eboni Burton, LCSWA
• Keira Burton, BCBA

• Infusion Therapy Registered Nurse in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Infusion Therapy Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.