Active NPI
Anna L Burdette, FNP, CNM
- Family Nurse Practitioner
- Anderson, SC
National Provider Identifier
1063438398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN 2825
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 231-2216
- Fax
- (864) 332-5335
- NPI assigned
- Jul 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN 2825 | SC | Primary |
| Advanced Practice Midwife | 367A00000X | APN 2825 | SC |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 231-2216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5402825 | Other | SC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218002345 | SC | Order and Referring Only - Nurse Practitioner | 4385949981 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2825 | SC | MD | Occupational Therapy Assistant |
| APN 2825 | SC | MD | Family Nurse Practitioner |
Interoperability endpoints
- aburdette9143@direct.anmedhealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1063438398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-231-2216",
"fax_number": "864-332-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-231-2216",
"fax_number": "864-332-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDETTE",
"first_name": "ANNA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "FNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN 2825",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "APN 2825",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5402825",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.