Kaneisha Rae Deburgo, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2280848 Issued in MA

Practice address

600 Old Somerset Ave
North Dighton, MA 02764-1866

Phone

(508) 824-7557

NPI assigned

Jul 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaneisha.deburgo.1@11568.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doctors James and Kelly Hoye Partners in Family Care

  • Family Medicine Physician
  • North Dighton, MA
  • NPI 1053379123
  Medicare reassignment NPD
• Nri Pain Management LLC

  • Internal Medicine Physician
  • North Smithfield, RI
  • NPI 1982485942
  NPD (past)

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1952955023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641866",
            "telephone_number": "508-824-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641866",
            "telephone_number": "508-824-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBURGO",
        "first_name": "KANEISHA",
        "middle_name": "RAE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-27",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN02687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2280848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S Ahaesy, M.ED, LMHC
• Megan Bartell, RN,BSN
• Cooperative Production, Inc.
• Jordan Alyssa Crossman, LPN
• Dighton Care and Rehabilitation Center LLC
• Dighton Corporation
• Dighton-Rehoboth
• Doctors James and Kelly Hoye Partners in Family Care
• Dawn Donahue

• Family Nurse Practitioner in North Dighton, MA
• Providers in North Dighton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.