Anne Porcher Burnett, NP-C
Individual provider Active NPI Family Nurse Practitioner · Monteagle, TN
NPI 1053780262 · NPPES record last updated Sep 17, 2015
Key facts
- NPI
- 1053780262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20423 (TN)
- Practice address
- 21 1St Street
Mountain Medical Clinic
Monteagle, TN 37356-7401 - Phone
- (931) 924-8000
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20151029001766 | TN | Practitioner - Nurse Practitioner | 4688983877 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20423 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current |
Accepting new patients | |
| Amg-Southern Tennessee LLC | Current |
Accepting new patients |
Locations
300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139
21 1st St
Monteagle, TN 37356
Phone (931) 598-5691
100 Hunters Ln
Tullahoma, TN 37388
Phone (931) 455-4616
185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20423 | TN | Yes |
Addresses
Primary practice location
21 1St Street
Mountain Medical Clinic
Monteagle, TN 37356-7401
Mailing address
21 1St Street
Mountain Medical Clinic
Monteagle, TN 37356-7401
Phone (931) 924-8000
Other providers in Monteagle, TN
- Amg-Southern Tennessee LLC
- Amg-Southern Tennessee LLC
- Kristie M Anderson
- Arthur Davies MD, PLLC
- Tom N. Brewer
- Thomas George Camp
- Community Medical Center of Monteagle
- Charity Elizabeth Cooke
- Arthur Davies
- William Douglas Dye
All providers in Monteagle, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2015. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.