Individual provider Active NPI

Angela S. Burden, ARNP

  • Family Nurse Practitioner
  • La Grange, KY
National Provider Identifier
1033355342
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5834P Issued in KY
Practice address
1006 New Moody LN
La Grange, KY 40031-9122
Phone
(502) 222-0028
Fax
(502) 222-0029
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5834P KY Primary

Addresses

Primary practice location

1006 New Moody LN
La Grange, KY 40031-9122

Mailing address

878 Cedar Run Rd
Pendleton, KY 40055-7742
Phone (502) 743-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000418 KY Practitioner - Nurse Practitioner 3577627819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CCMH Corporation CurrentSince May 21, 2025 Accepting new patients
CCMH Corporation Current Accepting new patients
First Stop Urgent Care Center PSC Family Past Accepting new patients
Bluegrass Womens Center PLLC Past Accepting new patients
Clarion Health and Wellness LLC Past Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1033355342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 CEDAR RUN RD",
            "city": "PENDLETON",
            "state": "KY",
            "postal_code": "400557742",
            "telephone_number": "502-743-9779",
            "fax_number": "502-743-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-0028",
            "fax_number": "502-222-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "ANGELA",
        "middle_name": "S.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5834P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.