Active NPI
Kristie L Burt, NP
- Family Nurse Practitioner
- Leesburg, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-123496
- Practice address
- 280 Industrial Blvd
Leesburg, AL 35983-3737 - Phone
- (256) 526-3233
- Fax
- (256) 526-3324
- NPI assigned
- Feb 29, 2012
- Last updated
- Feb 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN191802 | GA | |
| Family Nurse Practitioner | 363LF0000X | 1-123496 | AL | Primary |
Addresses
Primary practice location
280 Industrial Blvd
Leesburg, AL 35983-3737
Mailing address
280 Industrial Blvd
Leesburg, AL 35983-3737
Phone (256) 526-3323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 Industrial Blvd
Leesburg, AL 35983-3737
Phone (256) 526-3323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-123496 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weiss Family Care LLC | Current | Accepting new patients | |
| Centre Hospital Corporation | Past | Accepting new patients |
Locations
280 Industrial Blvd
Leesburg, AL 35983
Phone (256) 526-3323
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCHDDD
- https://fhir4.healow.com/fhir/r4/FCHDDD/Endpoint/FCHDDD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Weiss Family Care LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) W-2 Managing Employee (50%) |
Sep 29, 2022 Sep 29, 2022 Sep 29, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Leesburg, AL
- NPI 1275240608
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Leesburg, AL
- NPI 1275240608
-
- Family Medicine Physician
- Leesburg, AL
- NPI 1326917014
-
- Pharmacy
- Leesburg, AL
- NPI 1902730138
-
dba Cherokee Medical Center
- General Acute Care Hospital
- Centre, AL
- NPI 1396766267
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anniston, AL
- NPI 1245298892
-
dba Aveanna Home Health
- Home Health Agency
- Gadsden, AL
- NPI 1114451846
-
dba Atrium Health Floyd Cherokee Medical Center
- General Acute Care Hospital
- Centre, AL
- NPI 1962999664
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1073887659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 INDUSTRIAL BLVD",
"city": "LEESBURG",
"state": "AL",
"postal_code": "359833737",
"telephone_number": "256-526-3323",
"fax_number": "256-526-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 INDUSTRIAL BLVD",
"city": "LEESBURG",
"state": "AL",
"postal_code": "359833737",
"telephone_number": "256-526-3233",
"fax_number": "256-526-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "KRISTIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-29",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN191802",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-123496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.