Active NPI
Camelia Burrows, NP-C
- Gerontology Nurse Practitioner
- Tampa, FL
National Provider Identifier
1114448867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP9318130
- Practice address
- 5130 Sunforest Dr
Tampa, FL 33634-6318 - Phone
- (866) 686-2504
- Fax
- (855) 810-6183
- NPI assigned
- Jul 3, 2017
- Last updated
- Aug 20, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9318130 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | ARNP9318130 | FL | Primary |
Addresses
Primary practice location
5130 Sunforest Dr
Tampa, FL 33634-6318
Mailing address
210 Westwood PL
Brentwood, TN 37027-7554
Phone (866) 686-2504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MY8H8 | Other | FL | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20240806004755 | FL | Order and Referring Only - Nurse Practitioner | 6305191883 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9318130 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1114448867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTWOOD PL",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277554",
"telephone_number": "866-686-2504",
"fax_number": "855-810-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346318",
"telephone_number": "866-686-2504",
"fax_number": "855-810-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROWS",
"first_name": "CAMELIA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9318130",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP9318130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "MY8H8",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.