Charlitta Estie Burruss, SOCIAL WORKER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

323 E Phifer St Unit 26
Marshville, NC 28103-1348

Phone

(704) 904-9674

NPI assigned

Dec 30, 2011

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

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1982974457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 538",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "28170",
            "telephone_number": "704-904-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E PHIFER ST UNIT 26",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031348",
            "telephone_number": "704-904-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUSS",
        "first_name": "CHARLITTA",
        "middle_name": "ESTIE",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Childrens Homes of NC Inc
• Sarah Bradley
• Brenton Bundrick, DDS, PLLC
• Wesley Buie
• Brenton Bundrick, D.D.S.
• Carolina Behavioral Consulting LLC.
• Carolina Physical Rehabilitation Services, Inc.
• Nicole Craven Clark, OTR/L
• Community Medical, P.a.
• Michael Covert

• All providers in Marshville, NC
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.