Jessica Burtch

Key facts

NPI

1922500107

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

2035 SW 75TH St Ste B
Gainesville, FL 32607-3425

Phone

(352) 332-8588

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2018.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1922500107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SW 75TH ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073425",
            "telephone_number": "352-332-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 SW 75TH ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073425",
            "telephone_number": "352-332-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTCH",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

• Adarienne Lynne Burrow, LMHC
• Nikeasia Burrows
• Alberto Bursian
• Burton Burt, LMHC, MCAP, SAP
• Martha J Burt, MD
• David Brandon Burtis, DO
• Albert Paul Burtner, D.M.D.
• Edward M Burton, MD
• Jay Thomas Burton, M.A., CCC-A
• John J Burton, MD

All providers in Gainesville, FL · Behavior Technician in Florida