JENNIFER A BURGESS (NPI# 1316465636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316465636 |
| Entity Type | Individual |
| Full Name | JENNIFER A BURGESS |
| Credential | FNP-C |
| Practice Address |
716 Stevens Ave Portland ME 04103-2656 |
| Mailing Address |
Po Box 10475 Portland ME 04104-0475 |
| Practice Telephone | 2072214242 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN61814 | ME | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP171078 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Hills Beach Rd, Biddeford, ME 040059526 | 2076022358 |
| 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 |
716 STEVENS AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245990 | Lee Edward Niemeyer | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2005-06-20 |
| 1710505433 | Colin Hulst | Registered Nurse | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-07-09 |
| 1346864279 | Lievin Umba | Physician Assistant | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-06 |
| 1184248312 | Wendy Letchworth | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-03 |
| 1619591930 | Geoffrey Kamau Wahome | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-02 |
| 1891319398 | Jordan Ray Kelley | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-06-01 |
| 1073137659 | Jaclyn Elizabeth Masters | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-30 |
| 1508480260 | Carla D'amour | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| 1003439779 | Matthew Scott Austin | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| 1598389256 | Novisi Abba | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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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.