Individual provider Active NPI

Anita Burleson, NP

  • Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1104363944
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
001069 Issued in AR
Practice address
1000 N College Ave
El Dorado, AR 71730-3711
Phone
(870) 881-8008
NPI assigned
Jan 31, 2017
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 001069 AR Primary

Addresses

Primary practice location

1000 N College Ave
El Dorado, AR 71730-3711

Mailing address

1000 N College Ave
El Dorado, AR 71730-3711
Phone (870) 904-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170216000163 AR Practitioner - Nurse Practitioner 5395028492 Reassigns benefits to 2 organizations
Practice locations: El Dorado, AR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 N College Ave
El Dorado, AR 71730-3711
Phone (870) 881-8008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001069ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Emergency Physicians, LLP Nurse Practitioner CurrentSince Feb 1, 2017 Accepting new patients
South Arkansas Emergency Physicians, LLP Nurse Practitioner CurrentSince Feb 1, 2017 Accepting new patients
Nobulle Primary Care Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients
South Arkansas Emergency Physicians LLP Nurse Practitioner Current Accepting new patients

Locations

1000 N College Ave
El Dorado, AR 71730
Phone (870) 881-8008

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1104363944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303711",
            "telephone_number": "870-904-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303711",
            "telephone_number": "870-881-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "ANITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "001069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.