Individual provider Active NPI

Burgess Buchanan, NP

  • Gerontology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1336702679
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
224152 Issued in AZ
Practice address
10105 E Via Linda Ste 103
Scottsdale, AZ 85258-5346
Phone
(480) 405-0178
Fax
(866) 583-4286
NPI assigned
Apr 22, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 224152 AZ Primary

Addresses

Primary practice location

10105 E Via Linda Ste 103
Scottsdale, AZ 85258-5346

Mailing address

3590 Jenkins Dr
Rossville, TN 38066-3465
Phone (480) 465-3498

Other practice location 1

6262 Poplar Ave
Memphis, TN 38119-4728
Phone (901) 853-6428

Other practice location 2

16415 Northcross Dr
Huntersville, NC 28078-5001
Phone (480) 882-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224152AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1336702679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 JENKINS DR",
            "city": "ROSSVILLE",
            "state": "TN",
            "postal_code": "380663465",
            "telephone_number": "480-465-3498",
            "fax_number": "866-583-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585346",
            "telephone_number": "480-405-0178",
            "fax_number": "866-583-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6262 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194728",
            "country_code": "US",
            "telephone_number": "901-853-6428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 Northcross Dr",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785001",
            "country_code": "US",
            "telephone_number": "480-882-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "BURGESS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "224152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.