Individual provider Active NPI

Tashnie A. Burgess, FNP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1861850398
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN273079 Issued in GA
Practice address
655 Montgomery St Ste 810
San Francisco, CA 94111-2677
Phone
(844) 847-8216
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9326230 FL
Family Nurse Practitioner 363LF0000X AC003147 MD
Family Nurse Practitioner 363LF0000X F0716304 FL
Nurse Practitioner 363L00000X RN273079 GA Primary

Addresses

Primary practice location

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Mailing address

901 Illion Run
McDonough, GA 30253-5961
Phone (561) 324-9124

Other practice location 1

901 Illion Run
McDonough, GA 30253-5961
Phone (561) 324-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, DC, MD, TN, VA, OR, NY, CA, MA, PA11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20180726002368 GA Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 2 organizations
I20221207002914 FL Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 2 organizations
I20221215000844 DC Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 2 organizations
I20221215001224 MD Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 1 organization
I20230105000837 TN Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 2 organizations
I20230130000002 VA Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 1 organization
I20230620001365 OR Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 1 organization
I20230915000166 NY Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 3 organizations
I20240404002634 CA Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 1 organization
I20240501000670 MA Practitioner - Nurse Practitioner 8820345523 Reassigns benefits to 2 organizations
I20240617002767 PA Practitioner - Nurse Practitioner 8820345523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9326230FLMDRegistered Nurse
RN273079GAMDNurse Practitioner
F0716304FLMDFamily Nurse Practitioner
AC003147MDMDFamily Nurse Practitioner

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Virta Medical P.C. CurrentSince Sep 4, 2022 Accepting new patients
Careathome Medical Practice Ky Nurse Practitioner CurrentSince Jun 18, 2024 Accepting new patients
Careathome Medical Practice (Ma), P.C. CurrentSince Apr 1, 2024 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Jan 5, 2018 Accepting new patients
Caringathome, LLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Five Star Medical Office PC CurrentSince Apr 13, 2024 Accepting new patients
Urban Family Practice PC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Perfect Health PC CurrentSince May 14, 2024 Accepting new patients
Careathome Medical Practice Family CurrentSince Mar 1, 2024 Accepting new patients
Healthtap Medical Group, P.C. PastSince Dec 1, 2022 Accepting new patients

Locations (25 of 27)

201 California St
Ste 1300
San Francisco, CA 94111

401 Folsom St
Fl 1
San Francisco, CA 94105

501 Folsom St
Fl 1
San Francisco, CA 94105

501 Folsom St
San Francisco, CA 94105
Phone (866) 764-7330

655 Montgomery St
Ste 810
San Francisco, CA 94111

4000 Reservoir Rd NW
Washington, DC 20007
Phone (202) 444-2224

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

1201 Hays St
Fl 1
Tallahassee, FL 32301

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

300 Tower Rd NE
Ste 150
Marietta, GA 30060
Phone (678) 594-0070

2 Sun Ct
Peachtree Corners, GA 30092

1050 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (404) 778-8605

75 Arlington St
Ste 500
Boston, MA 02116
Phone 6172494142 ext. 61724

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

7 Saint Paul St
Ste 820
Baltimore, MD 21202
Phone (800) 370-6351

80 State St
Albany, NY 12207
Phone (415) 742-8411

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

401 NE 19th Ave
Ste 200F
Portland, OR 97232

9005 Overlook Blvd
Brentwood, TN 37027
Phone (615) 733-4651

2908 Poston Ave
Nashville, TN 37203
Phone (651) 342-1039

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1861850398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ILLION RUN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535961",
            "telephone_number": "561-324-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Illion Run",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302535961",
            "country_code": "US",
            "telephone_number": "561-324-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TASHNIE",
        "middle_name": "A.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9326230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F0716304",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN273079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.