JEFFREY BURGESS (NPI# 1104476977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104476977 |
| Entity Type | Individual |
| Full Name | JEFFREY BURGESS |
| Practice Address |
2525 Desales Ave Chattanooga TN 37404-1161 |
| Mailing Address |
2341 Mccallie Ave Chattanooga TN 37404-3239 |
| Practice Telephone | 4234952525 |
| Mailing Telephone | 4236983309 |
| Mailing Fax Number | 4236246355 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 171605 | TN | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0000026641 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
| 1659826014 | Jeffrey Phillip Burgess | Pharmacist | 2121 Collier Pkwy, Land O Lakes, FL 34639-5286 | 2016-08-15 |
| 1598063000 | Jeffrey Matthew Burgess | Pharmacist | 141 Meriden Rd, Waterbury, CT 06705-1937 | 2011-03-08 |
| 1952431546 | Jeffrey A Burgess | Dentist | 735 Bishop St, Suite 333, Honolulu, HI 96813-4817 | 2007-03-06 |
| Street Address |
2525 DESALES AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916188 | Thomas E. Hayes | Surgery | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2005-07-20 |
| 1881294544 | Amanda Leigh Little | Registered Nurse | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-10-30 |
| 1730789926 | Jennifer P Bryan | Psychiatry & Neurology | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-10-28 |
| 1558969428 | Rylee Carter | Registered Nurse | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-10-13 |
| 1205452752 | Casey Elizabeth Oneal | Pharmacist | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-06-21 |
| 1689201519 | Lindsey Cole Dunn | Registered Nurse | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-03-23 |
| 1073149233 | Linda Jean Hanna | Registered Nurse | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-03-19 |
| 1013540517 | Eun Hyea Godbold | Nurse Anesthetist, Certified Registered | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-02-13 |
| 1821634080 | Loeung Dean | Specialist/Technologist, Other | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2019-11-22 |
| 1588206155 | Lauren Elizabeth Shockley | Nurse Practitioner | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1649745225 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1304 Mccallie Ave, Chattanooga, TN 37404-2933 | 2018-10-10 |
| 1093113722 | Courtney Louise Lively-manyam | Nurse Anesthetist, Certified Registered | 975 E 3rd St # C-235, Chattanooga, TN 37403-2147 | 2014-12-11 |
| 1477959179 | Elaine Cook | Nurse Anesthetist, Certified Registered | 4812 Montcrest Cir, Chattanooga, TN 37416-1213 | 2014-11-07 |
| 1063720720 | Heather Bonnie Wilson | Nurse Anesthetist, Certified Registered | 8620 Oak View Dr, Chattanooga, TN 37421-4386 | 2010-09-15 |
| 1063737278 | Elizabeth Ann Kouvarakis | Nurse Anesthetist, Certified Registered | 2571 Triangle Farm Rd, Chattanooga, TN 37421-2874 | 2010-03-30 |
| 1730284183 | Elizabeth Ellen Jedamski | Nurse Anesthetist, Certified Registered | 1801 Gunbarrel Road, Chattanooga, TN 37421 | 2006-09-13 |
| 1104845825 | Kim Price | Nurse Anesthetist, Certified Registered | 979 E 3rd St # C300, Chattanooga, TN 37403-2136 | 2006-07-19 |
| 1427084490 | Michael Allen Parker | Nurse Anesthetist, Certified Registered | 1132 Fairmount Ave, Chattanooga, TN 37405-2850 | 2006-06-23 |
| 1427024363 | Cheril M Bailey | Nurse Anesthetist, Certified Registered | 7012 Arbor Leaf Ln, Chattanooga, TN 37421-1969 | 2006-02-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.