Kimberly Edwards Burgin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 5170473 Issued in FL

Practice address

2946 Capper Rd
Jacksonville, FL 32218-5140

Phone

(904) 864-6672

NPI assigned

May 21, 2008

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1922265396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 CAPPER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185140",
            "telephone_number": "904-864-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 CAPPER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185140",
            "telephone_number": "904-864-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "KIMBERLY",
        "middle_name": "EDWARDS",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN 5170473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6935214  96",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Burgess, MPH
• Latasha R Burgess
• Lyza Julliet Burgess, APRN
• Nasheed Burgess, PA-C
• Salena Burgess, BA
• Stephanie Elyse Burgin, M.S., B.C.B.A.
• Farooq David Burham, PHARMD
• Jessica Burham, DO
• Katherine Lane Bills Burkard, PA-C
• Burke Collins Therapy, Inc (H2 Health)

• Licensed Practical Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.