Individual provider Active NPI

Branisha Burns

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1316698244
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
BURN-YXBOW Issued in NC
Practice address
3400 Executive Dr
Raleigh, NC 27609-7476
Phone
(919) 862-2741
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X BURN-YXBOW NC Primary

Addresses

Primary practice location

3400 Executive Dr
Raleigh, NC 27609-7476

Mailing address

3400 Executive Dr
Raleigh, NC 27609-7476
Phone (198) 622-7419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220428002562 NC Practitioner - Nurse Practitioner 2062809635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BURN-YXBOWNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of North Carolina, PC CurrentSince Mar 1, 2022 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

30575 Bainbridge Rd
Ste 200
Solon, OH 44139

Interoperability endpoints

  • Direct secure messaging: branisha.burns.2@18731.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1316698244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 EXECUTIVE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097476",
            "telephone_number": "198-622-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 EXECUTIVE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097476",
            "telephone_number": "919-862-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "BRANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "BURN-YXBOW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.