Jakeryan Carhart Burns, NCG

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

504 Dakota St SE
Albuquerque, NM 87108-3820

Phone

(505) 977-3560

NPI assigned

Jul 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Juliana Carhart Burns Former name

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1962073940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 DAKOTA ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083820",
            "telephone_number": "505-977-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JAKERYAN",
        "middle_name": "CARHART",
        "credential": "NCG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "BURNS",
            "middle_name": "CARHART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Burns
• Barbara Burns
• Briana Burns
• Christine M. Burns, PH.D.
• Darren Burns, LCSW
• John Patrick Burns, MD
• Kristan Burns, LMSW
• Lani Ann Burns, LMT
• Malissa Burns
• Marcie Ann Burns, LCSW

• Case Manager/Care Coordinator in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.