NPIMap

Michael Burruss

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Apache Junction, AZ

NPI 1992437230 · NPPES record last updated Jul 7, 2026

Key facts

NPI
1992437230
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3232 W Shanley Ave
Apache Junction, AZ 85120-0007
Phone
(623) 312-5465
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Spirit Residences LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3232 W Shanley Ave
Apache Junction, AZ 85120-0007

Mailing address

3232 W Shanley Ave
Apache Junction, AZ 85120-0007
Phone (623) 312-5465

Other providers in Apache Junction, AZ

All providers in Apache Junction, AZ · Student in an Organized Health Care Education/Training Program in Arizona

Sources for this page

Verify at the official NPI Registry.