Active NPI
Anastasia Burns
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
National Provider Identifier
1063173631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP500002176
- Practice address
- 6 Liberty SQ # 2777
Boston, MA 02109-5800 - Phone
- (617) 830-6797
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | RN2281236 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN2281236 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R258205 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP500002176 | DC | Primary |
Addresses
Primary practice location
6 Liberty SQ # 2777
Boston, MA 02109-5800
Mailing address
6 Liberty SQ # 2777
Boston, MA 02109-5800
Phone (617) 830-6797
Other practice location 1
712 H St NE
Washington, DC 20002-3627
Phone (617) 830-6797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP500002176 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| R258205 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellanin PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
6 Liberty Sq
Boston, MA 02109
Phone (423) 827-5300
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
- NPI 1659096253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1063173631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LIBERTY SQ # 2777",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095800",
"telephone_number": "617-830-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LIBERTY SQ # 2777",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095800",
"telephone_number": "617-830-6797"
}
],
"practiceLocations": [
{
"address_1": "712 H St NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200023627",
"country_code": "US",
"telephone_number": "617-830-6797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS",
"first_name": "ANASTASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "RN2281236",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2281236",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R258205",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP500002176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.