Lauren M Burish, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003036A Issued in IN

Practice address

111 W Jefferson Blvd Ste 100
South Bend, IN 46601-1993

Phone

(574) 647-1670

NPI assigned

Oct 4, 2019

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

State licenses

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1821639477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 E EVERGREEN DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465828928",
            "telephone_number": "765-434-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JEFFERSON BLVD STE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011993",
            "telephone_number": "574-647-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURISH",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003036A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Burden, SAP AND CEAP
• Mara Burge
• Joyce P Burgess, O.T.
• Leroy Burgess, PSYCHOLOGIST
• Jason Burghduf, PHARMD
• Freya L Burket, A.C.S.W., L.C.S.W.
• Jackie Burleson
• Alexia Burling, RBT
• Audrey Burnett, COTA
• Jeffrey W Burnett, HSPP

• Athletic Trainer in South Bend, IN
• Providers in South Bend, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.