Active NPI
Jessica Burch
- Medical Technologist
- La Vernia, TX
National Provider Identifier
1891141628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- Practice address
- 323 Twin Oaks Dr
La Vernia, TX 78121-4522 - Phone
- (210) 379-3155
- NPI assigned
- May 11, 2016
- Last updated
- May 11, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | TX | Primary |
Addresses
Primary practice location
323 Twin Oaks Dr
La Vernia, TX 78121-4522
Mailing address
323 Twin Oaks Dr
La Vernia, TX 78121-4522
Phone (210) 379-3155
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1891141628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 TWIN OAKS DR",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "781214522",
"telephone_number": "210-379-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 TWIN OAKS DR",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "781214522",
"telephone_number": "210-379-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vernia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.