Healthcare Provider Details

I. General information

NPI: 1417393471
Provider Name (Legal Business Name): ZIPPORAH LACHELL BURNS DM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZIPPORAH LACHELL JOHNSON CNA

II. Dates (important events)

Enumeration Date: 05/17/2013
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1643 E COMMERCIAL ST
SPRINGFIELD MO
65803-3909
US

IV. Provider business mailing address

1022 W LINDBERG ST
SPRINGFIELD MO
65807-2442
US

V. Phone/Fax

Practice location:
  • Phone: 417-987-1661
  • Fax: 417-831-0889
Mailing address:
  • Phone: 417-987-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberCNA 464
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: