Active NPI
Billie Jeanne Burry, PHD, CRNP, FNP-BC
- Family Nurse Practitioner
- Honesdale, PA
National Provider Identifier
1114741907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP031116
- Practice address
- 1839 Fair Ave
Honesdale, PA 18431-2121 - Phone
- (570) 251-6500
- Fax
- (570) 253-5697
- NPI assigned
- Nov 8, 2024
- Last updated
- Nov 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP031116 | PA | Primary |
Addresses
Primary practice location
1839 Fair Ave
Honesdale, PA 18431-2121
Mailing address
1839 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 251-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP031116 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Corporation of Northeastern Pennsylvania | Current | Accepting new patients | |
| Rural Health Corporation of Northeastern Pennsylvania | Current | Accepting new patients | |
| Rural Health Corporation of Northeastern Pennsylvania | Past | Accepting new patients |
Locations
26 N Main St
Shickshinny, PA 18655
Phone (570) 542-4141
276 E End Ctr
Wilkes Barre, PA 18702
Phone (570) 825-8741
Interoperability endpoints
- billieburrynp@rhc.medentdirect.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1265801112
-
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1437351640
-
- Federally Qualified Health Center (FQHC)
- Falls, PA
- NPI 1205938578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1114741907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 FAIR AVE",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184312121",
"telephone_number": "570-251-6500",
"fax_number": "570-253-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 FAIR AVE",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184312121",
"telephone_number": "570-251-6500",
"fax_number": "570-253-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRY",
"first_name": "BILLIE",
"middle_name": "JEANNE",
"credential": "PHD, CRNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP031116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.