Nutusha Burns

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

503 Francis St
Mound Bayou, MS 38762-9758

Phone

(662) 402-8974

NPI assigned

Dec 13, 2022

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1831800655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FRANCIS ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629758",
            "telephone_number": "662-402-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FRANCIS ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629758",
            "telephone_number": "662-402-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "NUTUSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meta H Anderson, FNP-C
• Lasheena Armstrong, MSN CNM RNC-OB
• George Benford, D.M.D.
• Waynesha E Blaylock, MD
• Marketta Blue
• Community Adult Day Care
• Delta Health Center
• Delta Health Center
• Delta Health Center
• Delta Health Center

• Clinical Medical Laboratory in Mound Bayou, MS
• Providers in Mound Bayou, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.