Active NPI
Virginia Deann Burnett, D.O.
- Obstetrics & Gynecology Physician
- Las Cruces, NM
National Provider Identifier
1194931352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A-1750-13
- Practice address
- 4345 Senna Dr
Las Cruces, NM 88011 - Phone
- (575) 636-8854
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A-1750-13 | NM | Primary |
Addresses
Primary practice location
4345 Senna Dr
Las Cruces, NM 88011
Mailing address
1300G El Paseo Rd # 308
Las Cruces, NM 88001-6024
Phone (575) 636-8854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38607051 | Medicaid | NM | |
| 312538YRND | Other | NM | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1750-13 | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| El Paso Healthcare System LTD | Past | Accepting new patients |
Locations
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1093947491
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1194931352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300G EL PASEO RD # 308",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880016024",
"telephone_number": "575-636-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 SENNA DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "575-636-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "VIRGINIA",
"middle_name": "DEANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2021-02-01",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "A-1750-13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38607051",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "312538YRND",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.