Active NPI
Carrie Burnett, RN
- Pain Management Registered Nurse
- Portage, MI
National Provider Identifier
1295981744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Management Registered Nurse
- License
- 4704248154
- Practice address
- 7920 Kirkland CT
Portage, MI 49024-4974 - Phone
- (269) 381-7246
- Fax
- (269) 345-5354
- NPI assigned
- Aug 15, 2008
- 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 |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | 4704248154 | MI | Primary |
Addresses
Primary practice location
7920 Kirkland CT
Portage, MI 49024-4974
Mailing address
7920 Kirkland CT
Portage, MI 49024-4974
Phone (269) 381-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704248154 | Other | MI | MI STATE LICENSE |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704248154 | MI | MD | Pain Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1295981744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 KIRKLAND CT",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244974",
"telephone_number": "269-381-7246",
"fax_number": "269-345-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 KIRKLAND CT",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244974",
"telephone_number": "269-381-7246",
"fax_number": "269-345-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "CARRIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "MI",
"license": "4704248154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI STATE LICENSE",
"identifier": "4704248154",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.