Mollie-Jean Burgess, MSED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001695 Issued in VA

Practice address

800 E City Hall Ave
Suite 800
Norfolk, VA 23510-2723

Phone

(401) 741-0845

NPI assigned

Aug 6, 2013

Sex

Female

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

State licenses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1972935559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LONGDALE DR",
            "address_2": "APT 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235134731",
            "telephone_number": "401-741-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CITY HALL AVE",
            "address_2": "SUITE 800",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102723",
            "telephone_number": "401-741-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MOLLIE-JEAN",
        "credential": "MSED, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Burek, MS, OTR/L
• Keisha L Burfoot, M.D.
• Robert L Burger, MD
• Alexandra Lynn Burgess
• Jessica Robin Burgess, M.D.
• Sarah Lynn Burgess, MD
• Adrienne Claire Burgin, MD
• James Edward Burhop Jr., D.O.
• Carol A Burke, CRNA
• Emily Burke, PA-C

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.