Lisa C Bury, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704241397 Issued in MI

Practice address

535 S Burdick St Ste 160
Kalamazoo, MI 49007-6113

Phone

(269) 388-5864

Fax

(269) 388-5221

NPI assigned

Nov 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Underwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346495355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S BURDICK ST STE 160",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076113",
            "telephone_number": "269-388-5864",
            "fax_number": "269-388-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S BURDICK ST STE 160",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076113",
            "telephone_number": "269-388-5864",
            "fax_number": "269-388-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURY",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704241397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00909189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "UNDERWOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis Lee Burrows, PH.D.
• Judith Ann Burrows, SLP
• Amy BW Burtis
• Jeremy Burton, DPT
• Zoe Burton
• Mary Burzych
• William Busby, PHD
• Stephanie Busch-Abbate, DDS
• Paul Stephen Busch, D.D.S.
• Sadie Busch

• Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.