Katherine Anne Burnley, ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209012521 Issued in IL

Practice address

2133 Vadalabene Dr
Suite 5B
Maryville, IL 62062-5839

Phone

(618) 288-7605

Fax

(618) 288-7644

NPI assigned

Jun 5, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Generation Clinical Partners LLCGroup PAC ID 1557687803, 24 clinicians

Pai Participant 27, PCGroup PAC ID 2668872672, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.burnley.1@9850.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Generation Clinical Partners LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Glen Carbon, IL
  • NPI 1366050007

  IL

  Medicare reassignment Care Compare group NPD
• Pai Participant 27, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Willowbrook, IL
  • NPI 1093398539

  IL

  Medicare reassignment Care Compare group NPD
• Generation Clinical Partners LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1104235241

  MO

  Medicare reassignment Care Compare group NPD
• Metro East Healthcare Limited

  • Family Medicine Physician
  • Maryville, IL
  • NPI 1083767479

  IL

  Medicare reassignment NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  MO, Nurse Practitioner

  Medicare reassignment NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865

  IL, MO

  Medicare reassignment NPD
• Specialized Wound Management LLC

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1962430157

  IL

  Medicare reassignment
• Generation Clinical Partners Aco, LLC

  • Internal Medicine Physician
  • Waterloo, IL
  • NPI 1104674431
  NPD
• Generation Clinical Partners Aco, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1740969120
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1013397967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 VADALABENE DR",
            "address_2": "SUITE 5B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625839",
            "telephone_number": "618-288-7605",
            "fax_number": "618-288-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 VADALABENE DR",
            "address_2": "SUITE 5B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625839",
            "telephone_number": "618-288-7605",
            "fax_number": "618-288-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNLEY",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014040193",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellie Britton, CNP
• Shannon Buhmann
• Leah Marie Bunting, OTR/L
• Terry J Burk, MD
• Cari A Burke, MS, CCC-SLP
• Rachel Burns
• Jill C Butler, MS, CCC/SLP
• Cambridge House of Maryville
• Gabriel Cardenas Jr., D.P.M.
• Hailey R. Carmody, OTR

• All providers in Maryville, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.