Individual provider Active NPI

Diana Theresa Burchett, APRN

  • Family Nurse Practitioner
  • Sun City Center, FL
National Provider Identifier
1275030629
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9234499 Issued in FL
Practice address
137 S Pebble Beach Blvd Ste 202C
Sun City Center, FL 33573-5708
Phone
(813) 954-0363
Fax
(813) 644-5745
NPI assigned
Apr 11, 2018
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9234499 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9234499 FL

Addresses

Primary practice location

137 S Pebble Beach Blvd Ste 202C
Sun City Center, FL 33573-5708

Mailing address

11823 Tetrafin Dr
Riverview, FL 33579-4128
Phone (813) 954-0363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20181030000439 FL Practitioner - Nurse Practitioner 4486907003 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Wellness Concierge, LLC Family CurrentSince Apr 1, 2024 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Nov 4, 2019 Accepting new patients
MCR Health, Inc. Family CurrentSince Aug 25, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Aug 25, 2018 Accepting new patients

Locations

128 E Brandon Blvd
Brandon, FL 33511
Phone (813) 278-8293

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1949 Northgate Blvd
Sarasota, FL 34234
Phone (941) 359-2452

137 S Pebble Beach Blvd
Ste 202C
Sun City Center, FL 33573
Phone (813) 498-9349

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1275030629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11823 TETRAFIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794128",
            "telephone_number": "813-954-0363",
            "fax_number": "813-644-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S PEBBLE BEACH BLVD STE 202C",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735708",
            "telephone_number": "813-954-0363",
            "fax_number": "813-644-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "DIANA",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9234499",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9234499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.