JENNIFER BURGESS (NPI# 1174063226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174063226 |
Entity Type | Individual |
Full Name | JENNIFER BURGESS |
Credential | NP |
Practice Address |
10790 Rancho Bernardo Rd Mail Drop 4s-205 Desk 2368 San Diego CA 92127-5527 |
Mailing Address |
13334 Rollin Glen Rd Poway CA 92064-5131 |
Practice Telephone | 8589275527 |
Mailing Telephone | 8582314523 |
Enumeration Date | 2017-03-07 |
Last Update Date | 2019-11-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005397 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
13334 Rollin Glen Rd, Poway, CA 920645131 | 8582314523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215458567 | Jennifer Burgess | Technician | 5020 Hanna Pl Se, Washington, DC 20019-5818 | 2017-06-27 |
1902259963 | Jennifer Burgess | Speech-Language Pathologist | 127 Main Street West, Valdese, NC 28690 | 2016-07-14 |
1912257098 | Jennifer Burgess | Nurse Practitioner | 579 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1622 | 2012-09-14 |
1427362458 | Jennifer Michelle Burgess | Occupational Therapist | 29 Canvasback Cv, Jackson, TN 38305-2308 | 2010-08-02 |
1245369503 | Jennifer R Burgess | Psychologist | 6612 N Riverside Dr, Suite 130, Fort Worth, TX 76137-6663 | 2007-03-05 |
1225121825 | Jennifer Price Burgess | Pharmacist | 1144 North Road St, Albemarle Hospital Pharmacy, Elizabeth City, NC 27909 | 2006-10-02 |
1376532416 | Jennifer G Burgess | Occupational Therapist | 509 Highview Cir, Chattanooga, TN 37415-2910 | 2005-10-20 |
1649279977 | Jennifer L Burgess | Chiropractor | 107 S Oak St, Mount Carmel, PA 17851-2145 | 2005-07-19 |
1063976512 | Jennifer Burgess | Nurse Practitioner | 4054 Sawyer Rd, Sarasota, FL 34233-1272 | 2019-01-29 |
1265915011 | Jennifer Lynn Burgess | Licensed Practical Nurse | 15268 S Dixie Hwy Ste 101, Monroe, MI 48161-5040 | 2018-09-07 |
Street Address |
10790 RANCHO BERNARDO RD MAIL DROP 4S-205 DESK 2368 |
City | SAN DIEGO |
State | CA |
Zip Code | 92127-5527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265879803 | Nooshin Bahaie-khani | Internal Medicine | 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 | 2013-05-22 |
1396377529 | Maria Milasinovic | Physical Therapist | 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 | 2020-02-05 |
1669939476 | Kevin G O'sullivan | Physical Therapist | 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 | 2019-02-28 |
1760930424 | Hilary Lynn Schomberger | Physician Assistant | 10790 Rancho Bernardo Rd, Mail Drop 4s-205 Desk 2368, San Diego, CA 92127-5705 | 2016-09-12 |
1336500552 | Patrick Wyatt Scott | Physical Therapist | 10790 Rancho Bernardo Rd, Mail Drop 4s-205, San Diego, CA 92127-5705 | 2016-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
Find all providers in zip 92127 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
Find all providers in SAN DIEGO |
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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.