Active NPI
Dorothy Burnette, RN
- Registered Nurse
- Rock Hill, SC
National Provider Identifier
1154741304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 16715
- Practice address
- 1070 Heckle Blvd
Rock Hill, SC 29732-2853 - Phone
- (803) 909-7300
- NPI assigned
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 16715 | SC | Primary |
Addresses
Primary practice location
1070 Heckle Blvd
Rock Hill, SC 29732-2853
Mailing address
790 Simpson Rd
MC Connells, SC 29726-7783
Phone (803) 628-6586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16715 | Medicaid | SC |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16715 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1154741304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 SIMPSON RD",
"city": "MC CONNELLS",
"state": "SC",
"postal_code": "297267783",
"telephone_number": "803-628-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 HECKLE BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322853",
"telephone_number": "803-909-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "DOROTHY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "16715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16715",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.