Individual provider Active NPI

Camelia Burrows, NP-C

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1114448867
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9318130 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MY8H8OtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806004755 FL Order and Referring Only - Nurse Practitioner 6305191883

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9318130FLMDGerontology 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

Verify at the official NPI Registry.