Christy Marie Burd
Individual provider Active NPI Family Nurse Practitioner · Cheyenne, WY
NPI 1003552639 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1003552639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 49871 (WY)
- Practice address
- 2029 Bluegrass Cir Ste 200
Cheyenne, WY 82009-7369 - Phone
- (307) 638-8975
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivinson Memorial Hospital
Practice addresses (Care Compare)
3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-6319
4003 Rawlins St
Cheyenne, WY 82001-1800
Phone (307) 638-8975
Hospital & facility affiliations
- Ivinson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220715001005 | WY | Practitioner - Nurse Practitioner | 7214317619 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49871 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Surgical Specialists LLC | Current |
Accepting new patients | |
| Willow Creek Family Medicine, P.C. | Family | Current |
Accepting new patients |
| Memorial Hospital of Converse County | Past |
Accepting new patients |
Locations
4003 Rawlins St
Ste A
Cheyenne, WY 82001
Phone (307) 638-8975
2029 Bluegrass Cir
Ste 200
Cheyenne, WY 82009
Phone (307) 778-7666
4003 Rawlins St
Cheyenne, WY 82001
Phone (307) 323-2679
Interoperability endpoints
- https://soap.crmcwy.org/fhirproxy/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 49871 | WY | Yes |
Addresses
Primary practice location
2029 Bluegrass Cir Ste 200
Cheyenne, WY 82009-7369
Mailing address
2029 Bluegrass Cir Ste 200
Cheyenne, WY 82009-7369
Phone (307) 638-8975
Other providers in Cheyenne, WY
- Tyson Buffington
- Aydan Bullard
- Amanda Bullock
- Gary Bunker
- Dianna L Burchett
- Robert Milton Burdett Jr.
- Kim Burdick
- Todd Hamilton Burdick
- Kristy Burdine
- Aunna Burke
All providers in Cheyenne, WY · Family Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.