Individual provider Active NPI

Natalie Burleson

  • Pediatric Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1053954958
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP61404853 Issued in WA
Practice address
1600 116TH Ave NE Ste 304
Bellevue, WA 98004-3057
Phone
(256) 975-2494
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP61404853 WA Primary

Addresses

Primary practice location

1600 116TH Ave NE Ste 304
Bellevue, WA 98004-3057

Mailing address

25676 SE 149TH St
Issaquah, WA 98027-8331
Phone (256) 975-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20200225001752 AL Practitioner - Nurse Practitioner 7719314137 Reassigns benefits to 1 organization
I20240905000137 WA Practitioner - Nurse Practitioner 7719314137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61404853WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Pediatrics, PLLC Pediatrics CurrentSince Jun 20, 2024 Accepting new patients
Happi Health CurrentSince Jan 6, 2020 Accepting new patients
Happi Health CurrentSince Jan 6, 2020 Accepting new patients

Locations

813 Franklin St SE
Huntsville, AL 35801
Phone (256) 519-3650

1600 116th Ave NE
Ste 304
Bellevue, WA 98004
Phone (425) 453-7888

Interoperability endpoints

  • Direct secure messaging: natalie.burleson.1@30858.direct.athenahealth.com

Organizations & group practices 3

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1053954958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25676 SE 149TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278331",
            "telephone_number": "256-975-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE STE 304",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043057",
            "telephone_number": "256-975-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61404853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.