Active NPI
Vickey M Burnett, NP
- Family Nurse Practitioner
- Bossier City, LA
National Provider Identifier
1295770246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN048894 AP01208
- Practice address
- 2449 Hospital Dr
Suite 400
Bossier City, LA 71111-2399 - Phone
- (318) 212-7902
- Fax
- (318) 212-7905
- NPI assigned
- Jun 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN048894 AP01208 | LA | Primary |
Addresses
Primary practice location
2449 Hospital Dr
Suite 400
Bossier City, LA 71111-2399
Mailing address
2449 Hospital Dr
Suite 400
Bossier City, LA 71111-2399
Phone (318) 212-7902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529192 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061024000117 | LA | Practitioner - Nurse Practitioner | 0244237824 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- WK Endocrine Specialists
Practice addresses (Care Compare)
2449 Hospital Dr
Suite 400
Bossier City, LA 71111-1914
Phone (318) 212-7902
Hospital & facility affiliations
- Willis Knighton Medical Center
- Christus St Frances Cabrini Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN048894 AP01208 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Endocrine Specialists | Current | Accepting new patients | |
| Laura Kimball-Ravari MD and Willis-Knighton Medical Center | Past | Accepting new patients |
Locations
2449 Hospital Dr
Ste 400
Bossier City, LA 71111
Phone (318) 212-7902
Interoperability endpoints
- vburnett@direct.wkhs.com
Organizations & group practices 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bossier City, LA
- NPI 1073831004
LA
-
- Endocrinology, Diabetes & Metabolism Physician
- Bossier City, LA
- NPI 1780610824
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1295770246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR",
"address_2": "SUITE 400",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112399",
"telephone_number": "318-212-7902",
"fax_number": "318-212-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR",
"address_2": "SUITE 400",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112399",
"telephone_number": "318-212-7902",
"fax_number": "318-212-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "VICKEY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN048894 AP01208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529192",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.