Individual provider Active NPI

Diane M Burt, RN, MSN, APN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeton, NJ
National Provider Identifier
1043229883
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NN097238 Issued in NJ
Practice address
265 Irving Ave
Bridgeton, NJ 08302-2121
Phone
(856) 451-4700
Fax
(856) 453-8495
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN097238 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NN097238 NJ Primary

Addresses

Primary practice location

265 Irving Ave
Bridgeton, NJ 08302-2121

Mailing address

765 E Route 70
BLD a
Marlton, NJ 08053-2341
Phone (856) 797-4751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070830000463 NJ Practitioner - Nurse Practitioner 5395838718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Psychiatric Care 14 clinicians

Practice addresses (Care Compare)

2 Split Rock Dr
Suite 11
Cherry Hill, NJ 08003-1244
Phone (856) 428-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NN097238NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insite Medical NJ PA Psychiatric/Mental Health CurrentSince Feb 7, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 22, 2011 Accepting new patients
Clarity Psychiatric Care Psychiatric/Mental Health CurrentSince Jun 11, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 22, 2011 Accepting new patients
Jack M. Shields,M.D., PA Past Accepting new patients
Insite Medical NJ PA PastSince May 1, 2024 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

265 Irving Ave
Bridgeton, NJ 08302

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

2 Split Rock Dr
Ste 11
Cherry Hill, NJ 08003
Phone (856) 428-1260

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1043229883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 E ROUTE 70",
            "address_2": "BLD A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532341",
            "telephone_number": "856-797-4751",
            "fax_number": "856-797-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022121",
            "telephone_number": "856-451-4700",
            "fax_number": "856-453-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "RN, MSN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN097238",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NN097238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.