Individual provider Active NPI

Maureen Burniston, RN

  • Community Health Registered Nurse
  • Johnson City, TN
National Provider Identifier
1851439368
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0000056949 Issued in TN
Practice address
1233 Southwest Ave Extension
Johnson City, TN 37604-6519
Phone
(423) 979-4626
Fax
(423) 979-3267
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000056949 TN Primary

Addresses

Primary practice location

1233 Southwest Ave Extension
Johnson City, TN 37604-6519

Mailing address

1167 Dry Hill Rd
Butler, TN 37640-7341
Phone (423) 768-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000056949TNMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1851439368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 DRY HILL RD",
            "city": "BUTLER",
            "state": "TN",
            "postal_code": "376407341",
            "telephone_number": "423-768-3226",
            "fax_number": "423-768-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SOUTHWEST AVE EXTENSION",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046519",
            "telephone_number": "423-979-4626",
            "fax_number": "423-979-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNISTON",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000056949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.