Active NPI
Leslie Ann Burnham, N.P.
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN285052
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (978) 882-6885
- NPI assigned
- Oct 25, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN285052 | MA | |
| Acute Care Nurse Practitioner | 363LA2100X | 057939-23 | NH | |
| Nurse Practitioner | 363L00000X | RN285052 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Boston, MA 02114-2621
Other practice location 1
100 Hitchcock Way
Dartmouth Hitchcock - Urgent Care
Manchester, NH 03104-4125
Phone (603) 695-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN285052 | MA | MD | Nurse Practitioner |
| 057939-23 | NH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| TVCG Newton-Wellesley PLLC | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Stephen J. Hoenig, MD, PC | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Alliance Health Services | Current | Accepting new patients | |
| Vascular Care Group LLC | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
54 Baker Avenue Ext
Ste 301
Concord, MA 01742
Phone (978) 369-4468
85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087
50 Memorial Dr
Ste 112
Leominster, MA 01453
Phone (978) 534-3179
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
981 Worcester St
Ste 2A
Wellesley, MA 02482
Phone (781) 304-8838
981 Worcester St
Fl 2
Wellesley, MA 02482
Phone (506) 556-0223
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
Interoperability endpoints
- lburnham11451@direct.dartmouth-hitchcock.org
- burnham.leslie.mgh@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Vascular Surgery Physician
- Leominster, MA
- NPI 1578561569
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Vascular Surgery Physician
- Hyannis, MA
- NPI 1538775481
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Vascular Surgery Physician
- Wellesley, MA
- NPI 1609459148
-
dba Dartmouth-Hitchcock Bedford
- Family Medicine Physician
- Bedford, NH
- NPI 1891859419
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Spaulding Rehabilitation Hospital - Boston
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1275886475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "978-882-6885"
}
],
"practiceLocations": [
{
"address_1": "100 Hitchcock Way",
"address_2": "Dartmouth Hitchcock - Urgent Care",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031044125",
"country_code": "US",
"telephone_number": "603-695-2570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNHAM",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2023-03-14",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN285052",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NH",
"license": "057939-23",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN285052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.