Shirley Ann Burgess, LMT,CR

Primary specialty

SpecialistTaxonomy code 174400000X

License

0019000722 Issued in VA

Practice address

1207 Black Ridge Rd SW
Floyd, VA 24091-4007

Phone

(540) 745-5483

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982746145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 BLACK RIDGE RD SW",
            "address_2": "302 OXFORD ST.",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240914007",
            "telephone_number": "540-745-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 BLACK RIDGE RD SW",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240914007",
            "telephone_number": "540-745-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SHIRLEY ANN",
        "name_prefix": "Ms.",
        "credential": "LMT,CR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0019000722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Bowman, MSSW
• Robert Rowley Bowman Jr., M.D.
• Steven Daniel Bowman, LPTA
• David-Michael Boykin, SLP-CCC
• Amanda Buckner, LPC
• Peter Burggraf
• Carilion Giles Community Hospital (Carilion Clinic Family Medicine)
• Carilion Healthcare Corporation (Carilion Clinic Family Medicine)
• Brittany Carr
• Collins Chiropractic Clinic

• Specialist in Floyd, VA
• Providers in Floyd, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.