DR. CHESKA LEE BURLESON (NPI# 1407373368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407373368 |
| Entity Type | Individual |
| Full Name | DR. CHESKA LEE BURLESON |
| Credential | PHD |
| Practice Address |
921 39th Ave Ne Saint Petersburg FL 33703-5924 |
| Practice Telephone | 5127319344 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
48025 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
921 39TH AVE NE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33703-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331488 | Maria T. Carranza | Pathology | 2126 1st Ave S, Saint Petersburg, FL 33712-1204 | 2019-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626795 | Sabrina Yvette Kelley | Pathology | 801 W Sr 436 Ste 2005, Altamonte Springs, FL 32714-3053 | 2020-07-08 |
| 1407315575 | Aitor Lartitegui | Pathology | 15481 Sw 12th St Ste 303, Sunrise, FL 33326-1993 | 2019-03-18 |
| 1912479130 | Jean S Sanon | Pathology | 3020 High Ridge Rd Ste 600, Boynton Beach, FL 33426-8731 | 2018-12-28 |
| 1538645122 | Brandie Underwood | Pathology | 255 Se 7th Ave Ste 3, Crystal River, FL 34429-4848 | 2018-07-17 |
| 1083117535 | Quality Clinical Lab LLC | Pathology | 2204 Us Highway 19, Holiday, FL 34691-4351 | 2018-03-12 |
| 1356867048 | Kendall Ather Bryant | Pathology | 520 Baker St, Orlando, FL 32806 | 2017-08-15 |
| 1215329552 | Joseph Coscia | Pathology | 28 Bermuda Lake Dr, Palm Beach Gardens, FL 33418-4584 | 2015-02-24 |
| 1942600465 | Judith Mcmorris | Pathology | 4537 Winding River Way, Land O Lakes, FL 34639-5734 | 2014-09-03 |
| 1972756955 | Rafael Rodriguez | Pathology | 8004 Nw 154th St # 197, Miami Lakes, FL 33016-5814 | 2008-11-04 |
| 1861006983 | Tallahassee Covid Testing, LLC | Pathology | 220 Office Plz, Tallahassee, FL 32301-2808 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33703 |
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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.