Active NPI
Kristie Burnette, MSN, RN
- Administrator Registered Nurse
- Glen Allen, VA
National Provider Identifier
1124901970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 0001194488
- Practice address
- 4200 Innslake Dr Ste 203
Glen Allen, VA 23060-6772 - Phone
- (804) 965-1226
- NPI assigned
- Jul 29, 2025
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 0001194488 | VA | Primary |
Addresses
Primary practice location
4200 Innslake Dr Ste 203
Glen Allen, VA 23060-6772
Mailing address
2913 Royal Crest Dr
Midlothian, VA 23113-3792
Phone (804) 283-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001194488 | VA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1124901970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 ROYAL CREST DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231133792",
"telephone_number": "804-283-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 INNSLAKE DR STE 203",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606772",
"telephone_number": "804-965-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "KRISTIE",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "VA",
"license": "0001194488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.