Individual provider Active NPI

Austin R Burnett, FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1225346380
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
745174 Issued in TX
Practice address
312 E Renfro St
Ste. 101
Burleson, TX 76028-3947
Phone
(817) 295-3100
Fax
(817) 295-3158
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 745174 TX Primary

Addresses

Primary practice location

312 E Renfro St
Ste. 101
Burleson, TX 76028-3947

Mailing address

312 E Renfro St
Suite 101
Burleson, TX 76028-3947
Phone (817) 295-3100

Other identifiers 3

IdentifierTypeStateIssuer
218095201MedicaidTX
218095202MedicaidTX
218095203MedicaidTX

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joe M Etter DO PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: austin.burnett.1@8334.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8334/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1225346380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "SUITE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-3100",
            "fax_number": "817-295-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "STE. 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-3100",
            "fax_number": "817-295-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "AUSTIN",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "745174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218095201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218095202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218095203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.