Active NPI
Jason Burgun, APRN
- Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1891336160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11003986
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1300 - Phone
- (727) 433-0195
- Fax
- (727) 456-9980
- NPI assigned
- Oct 8, 2019
- Last updated
- Oct 5, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11003986 | FL | Primary |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1300
Mailing address
9701 48TH PL N
St Petersburg, FL 33708-3625
Phone (727) 433-0195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003986 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients |
Interoperability endpoints
- jburgun342941@orlandohealth.medalliesdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1891336160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 48TH PL N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337083625",
"telephone_number": "727-433-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-433-0195",
"fax_number": "727-456-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGUN",
"first_name": "JASON",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11003986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Edgar Alfredo Buren, MD
- Brandon Tyler Burgess
- Sarah C Burgess, MSN, APRN, AGNP-C
- Burghealth Inc. (Burghealth Chiropractic & Wellness)
- Julio Antonio Burgos
- Gwendolyn Louise Burk
- Burke Chiropractic, LLC
- Burke Consulting Corporation (Granny Nannies of Tampa Bay)
- Christina M. Burke, PA-C
- Elizabeth Katherine Burke, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.