Individual provider Active NPI

Heather Lenae Burnett, APN, NP-C

  • Family Nurse Practitioner
  • Normal, IL
National Provider Identifier
1275967770
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.010668 Issued in IL
Practice address
201 N University
Normal, IL 61790-1426
Phone
(309) 438-2956
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
209.010668ILMDFamily Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.010668 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

201 N University
Normal, IL 61790-1426

Mailing address

201 N University
Normal, IL 61790-1426
Phone (309) 438-2956

Other practice location 1

1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 263-9124

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2021.

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1275967770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617901426",
            "telephone_number": "309-438-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617901426",
            "telephone_number": "309-438-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 N Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615501426",
            "country_code": "US",
            "telephone_number": "309-263-9124",
            "fax_number": "309-266-8696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "HEATHER",
        "middle_name": "LENAE",
        "credential": "APN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.010668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.