Active NPI
Robin Burgess, FNP
- Family Nurse Practitioner
- Rockville, MD
National Provider Identifier
1073160388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R213439
- Practice address
- 11750 Old Georgetown Rd Unit 2410
Rockville, MD 20852 - Phone
- (240) 506-0048
- NPI assigned
- Aug 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R213439 | MD | Primary |
Addresses
Primary practice location
11750 Old Georgetown Rd Unit 2410
Rockville, MD 20852
Mailing address
11750 Old Georgetown Rd Unit 2410
Rockville, MD 20852-2685
Phone (240) 506-0048
Other practice location 1
2427 Eastern Ave
Baltimore, MD 21224-3614
Phone (240) 506-0048
Other practice location 2
11750 Old Georgetown Rd Unit 2410
Rockville, MD 20852
Phone (240) 506-0048
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rb0062@mix.wvu.edu | Direct | |
| Other URL | Robindburgess@gmail.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R213439 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- rb0062@mix.wvu.edu
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1073160388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 OLD GEORGETOWN RD UNIT 2410",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522685",
"telephone_number": "240-506-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 OLD GEORGETOWN RD UNIT 2410",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "240-506-0048"
}
],
"practiceLocations": [
{
"address_1": "2427 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212243614",
"country_code": "US",
"telephone_number": "240-506-0048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11750 Old Georgetown Rd Unit 2410",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20852",
"country_code": "US",
"telephone_number": "240-506-0048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "ROBIN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R213439",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rb0062@mix.wvu.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2427 Eastern Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212243614",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Robindburgess@gmail.com",
"affiliation": "N",
"address_1": "11750 Old Georgetown Rd Unit 2410",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "20852",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.