Amanda Verkruissen Burnett, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP0071 Issued in LA

Practice address

1717 Oak Park Blvd FL 1
Lake Charles, LA 70601-8977

Phone

(337) 494-6800

Fax

(337) 494-6761

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swlhs LLCGroup PAC ID 6406938612, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HH Agency of Lake Charles Memo Home health agency, Lake Charles, LA, CCN 197005
• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
• West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
• Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
• Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aburnett5281950@direct.casso.us.com

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.

• Swlhs LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1669494654
  Medicare reassignment Care Compare group NPD
• Imperial Health LLP

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1326396375
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1083992382
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Multi-Specialty Clinic/Center
  • Sulphur, LA
  • NPI 1215560974

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sulphur, LA
  • NPI 1366700387

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Obstetrics & Gynecology Physician
  • Sulphur, LA
  • NPI 1619221348

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Clinic/Center
  • Sulphur, LA
  • NPI 1801133913

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Urology Physician
  • Sulphur, LA
  • NPI 1942552310

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1093927105

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1205040995

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • Student Health Clinic/Center
  • Grand Chenier, LA
  • NPI 1407068299

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1548796378
  Care Compare affiliation
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1629076468
  Care Compare affiliation

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1235452822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122205 DEPT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122205",
            "telephone_number": "337-494-2772",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018977",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 3rd Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018994",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4345 Nelson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054183",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "AMANDA",
        "middle_name": "VERKRUISSEN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP0071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "AP0071",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102605",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Burklow, M.A., CCC-SLP
• Jason Burklow, M.D.
• Jamie Leigh Burks, CFNP
• Kathryn N Burleigh
• Burnett Chiropractic, LLC
• Clayton D Burnett, DC
• Savannah Guidry Burnett, PA-C
• Douglas G Burnette Jr., M.D.
• Ryan James Burrill, M.D.
• John M Burton, MD

• Adult Health Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.