Individual provider Active NPI

Ambrasa N Burnom

  • Podiatric Assistant
  • Houston, TX
National Provider Identifier
1932887304
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
Practice address
4825 Almeda Rd
Houston, TX 77004-5655
Phone
(409) 548-2512
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X Primary

Addresses

Primary practice location

4825 Almeda Rd
Houston, TX 77004-5655

Mailing address

2475 Gray Falls Dr Apt 128
Houston, TX 77077-6518
Phone (409) 548-2512

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

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1932887304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 GRAY FALLS DR APT 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776518",
            "telephone_number": "409-548-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 ALMEDA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045655",
            "telephone_number": "409-548-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNOM",
        "first_name": "AMBRASA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.