Benita Willetta Burch, L.P.N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN077778 Issued in OH

Practice address

1888 Burnette Ave
East Cleveland, OH 44112-2017

Phone

(216) 761-8796

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891855607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 BURNETTE AVE.",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122017",
            "telephone_number": "216-761-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 BURNETTE AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122017",
            "telephone_number": "216-761-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "BENITA",
        "middle_name": "WILLETTA",
        "name_prefix": "Ms.",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN077778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2242184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Brickley
• Julice Lynn Brinkley
• Akilah Brown
• John D Brownlee, M.D.
• Shamanique Ramika Bryant, STNA
• Jeanetta Marie Burrage
• Kiara Michelle Cadiz-Robles, PSYD
• Deasha Cage
• Anne L Campbell, CNM
• Richard Louis Canaly, LPTA RN BSN NY

• Licensed Practical Nurse in East Cleveland, OH
• Providers in East Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.