Karrie Kay Burriss, CNP, PMHNP- BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

COA.16105-NP Issued in OH

Practice address

270 Sterkel Blvd
Mansfield, OH 44907-1508

Phone

(419) 774-6869

Fax

(419) 774-6882

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Center for Individual and Family Services, Inc.Group PAC ID 9133102544, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Individual and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, OH
  • NPI 1487669222
  Medicare reassignment Care Compare group NPD
• The Center for Individual & Family Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, OH
  • NPI 1568722171
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1174758320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 TOWNSHIP ROAD 1193",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059356",
            "telephone_number": "419-606-5576",
            "fax_number": "419-774-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 STERKEL BLVD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071508",
            "telephone_number": "419-774-6869",
            "fax_number": "419-774-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRISS",
        "first_name": "KARRIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "CNP, PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "342727",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.16105-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Allen Burks, D.D.S.
• Amy Burns, OTR/L
• Robert David Burns, M.D.
• Tori Bailey Burnworth, OTR/L
• Keely Marie Burrer, CRNA
• Jason Burton
• Daniel D Burwell, DO
• Abigail Butler, AT,ATC
• Chelsey Butler
• Jennifer May Butler, PCC

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.