Active NPI
Angela S. Burden, ARNP
- Family Nurse Practitioner
- La Grange, KY
National Provider Identifier
1033355342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5834P
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCMH Corporation | Current | 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.
-
- Critical Access Hospital
- Carrollton, KY
- NPI 1225159601
-
- Rural Health Clinic/Center
- Carrollton, KY
- NPI 1558585091
-
- Obstetrics & Gynecology Physician
- La Grange, KY
- NPI 1144395286
-
- Interventional Pain Medicine Physician
- Hazard, KY
- NPI 1063717080
-
- Family Medicine Physician
- Lagrange, KY
- NPI 1285731497
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.