Active NPI
Jason Daniel Burgins, PA
- Physician Assistant
- Tacoma, WA
National Provider Identifier
1881311173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-4556 - Phone
- (253) 968-0366
- NPI assigned
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-4556
Mailing address
3925 Legend Hills St Unit 102
Las Vegas, NV 89129-4556
Phone (702) 824-4445
Other practice location 1
3925 Legend Hills St Unit 102
Las Vegas, NV 89129-4556
Phone (702) 824-4445
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1881311173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 LEGEND HILLS ST UNIT 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891294556",
"telephone_number": "702-824-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984314556",
"telephone_number": "253-968-0366"
}
],
"practiceLocations": [
{
"address_1": "3925 Legend Hills St Unit 102",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891294556",
"country_code": "US",
"telephone_number": "702-824-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGINS",
"first_name": "JASON",
"middle_name": "DANIEL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2023-12-27",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.