Evanna Corrin Burkett, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024173736 Issued in VA

Practice address

163 Fort Evans Rd NE
Leesburg, VA 20176-4420

Phone

(703) 443-2000

Fax

(703) 443-2033

NPI assigned

Apr 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Mayrx

  dba Mayrx, PLLC

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1255039897
  Medicare reassignment NPD
• Integrated Psychogenic Wellness Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1184114118
  NPD Authorized official
• Mayrx Recovery

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1154186013
  NPD

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1255504742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031829",
            "telephone_number": "336-781-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764420",
            "telephone_number": "703-443-2000",
            "fax_number": "703-443-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Northline Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087600",
            "country_code": "US",
            "telephone_number": "336-286-6565",
            "fax_number": "336-286-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Deer Run Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245402862",
            "country_code": "US",
            "telephone_number": "434-835-4601",
            "fax_number": "434-835-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "EVANNA",
        "middle_name": "CORRIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "210912",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005835",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gwen Burgess
• Kaila Marie Burgin, PA
• Carlos Burgos
• Laura N Burke, NP
• Shannon Irene Burke, PHARMD
• Diana B Burnett, LCSW
• Daniel Burns
• Jennifer Lynn Burns, A.P.
• Kaitlyn Burns
• Ronald V Buro, DDS, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.