JEWEL D BURDEN (NPI# 1073996070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073996070 |
| Entity Type | Individual |
| Full Name | JEWEL D BURDEN |
| Other Name | JEWEL D WHITE |
| Credential | PA |
| Practice Address |
4092 Foxwood Dr Ste 101 Va Beach VA 23462-5225 |
| Mailing Address |
Po Box 7549 Portsmouth VA 23707-0549 |
| Practice Telephone | 7576863525 |
| Practice Fax Number | 7576860541 |
| Mailing Telephone | 7576863525 |
| Mailing Fax Number | 7576860541 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110005096 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4092 FOXWOOD DR STE 101 |
| City | VA BEACH |
| State | VA |
| Zip Code | 23462-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659736775 | Austin M Brett | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2015-12-16 |
| 1184004475 | Kodi J Puckett | Physician Assistant | 4092 Foxwood Dr, Ste 100, Va Beach, VA 23462-5225 | 2015-06-02 |
| 1083009427 | Thomas Lesinski | Physician Assistant | 4092 Foxwood Dr, 101, Va Beach, VA 23462-5225 | 2015-04-02 |
| 1316356371 | Matthew Hobson Jones | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-08-04 |
| 1093126179 | Lauren K Paluch | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-05-12 |
| 1407267644 | Rosecheryl Ferrer Danao | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-05-09 |
| 1457776049 | Angela Widler | Physician Assistant | 4092 Foxwood Dr, Va Beach, VA 23462-5225 | 2014-02-19 |
| 1700208725 | Janice E Guynn | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-01-10 |
| 1144515651 | Timothy R Faust | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2011-06-13 |
| 1568751865 | Ryan Paul Capps | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922523489 | Elizabeth M Barea | Physician Assistant | 1925 Glenn Mitchell Dr Ste 100, Va Beach, VA 23456-0170 | 2017-08-07 |
| 1518319300 | Jocelyn B Oleshansky | Physician Assistant | 6632 Indian River Rd, Va Beach, VA 23464-3442 | 2016-07-06 |
| 1659736775 | Austin M Brett | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2015-12-16 |
| 1184004475 | Kodi J Puckett | Physician Assistant | 4092 Foxwood Dr, Ste 100, Va Beach, VA 23462-5225 | 2015-06-02 |
| 1083009427 | Thomas Lesinski | Physician Assistant | 4092 Foxwood Dr, 101, Va Beach, VA 23462-5225 | 2015-04-02 |
| 1093126179 | Lauren K Paluch | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-05-12 |
| 1407267644 | Rosecheryl Ferrer Danao | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-05-09 |
| 1457776049 | Angela Widler | Physician Assistant | 4092 Foxwood Dr, Va Beach, VA 23462-5225 | 2014-02-19 |
| 1700208725 | Janice E Guynn | Physician Assistant | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.