Active NPI
Jill M Burgin, RN, BSN
- School Registered Nurse
- Charleston, SC
National Provider Identifier
1922443639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 58560
- Practice address
- 883 Mikell Dr
Charleston, SC 29412-5042 - Phone
- (843) 762-2767
- Fax
- (843) 762-2773
- NPI assigned
- May 8, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 58560 | SC | Primary |
Addresses
Primary practice location
883 Mikell Dr
Charleston, SC 29412-5042
Mailing address
883 A Mikell Drive
Stiles Point Elementary
Charleston, SC 29412-5042
Phone (843) 406-6050
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58560 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1922443639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "883 A MIKELL DRIVE",
"address_2": "STILES POINT ELEMENTARY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294125042",
"telephone_number": "843-406-6050",
"fax_number": "843-762-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "883 MIKELL DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294125042",
"telephone_number": "843-762-2767",
"fax_number": "843-762-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIN",
"first_name": "JILL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "58560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.