Jylan Jamod Burris I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

928 12TH St
Greeley, CO 80631-4024

Phone

(970) 347-1350

NPI assigned

Jan 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1922759729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 15TH ST APT 310",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314405",
            "telephone_number": "469-685-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314024",
            "telephone_number": "970-347-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "JYLAN",
        "middle_name": "JAMOD",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Burkhardt, OT
• Brandi Burman
• Allison Burnap, DPT
• Jennifer Layne Burnett, LCSW
• Jean Burnette, R.PH.
• Burt Stewart DMD PLLC
• Bushberg Dental, PLLC
• Darin Wayne Busse, D.C.
• Randy M Bussey, MD
• Terri L Butkovich

• Community Health Worker in Greeley, CO
• Providers in Greeley, CO by specialty
• Community Health Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.