DR. JENNIFER M BURSTAIN M.D. NPI 1477666485

NPI Information

NPI: 1477666485
Provider Name: DR. JENNIFER M BURSTAIN, M.D.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 366-1503
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DR. Jennifer M Burstain, M.D. is a counselor in Cedar Rapids, IA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Jennifer M Burstain, M.D. NPI is 1477666485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1911 1ST AVE SE
CEDAR RAPIDS, IA
ZIP 52402-320
Phone: (319) 366-1503
Fax: (319) 366-6976

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	33047	IOWA	No
2	101Y00000X	Counselor			WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0258749	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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