Tanya Burdick, CNP
Individual provider Active NPI Family Nurse Practitioner · Conneaut, OH
NPI 1366977191 · NPPES record last updated Apr 30, 2017
Key facts
- NPI
- 1366977191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.020239 (OH)
- Practice address
- 158 W Main Rd
Conneaut, OH 44030-2039 - Phone
- (440) 593-1131
- NPI assigned
- Apr 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashtabula County Medical Center
Practice addresses (Care Compare)
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6969
354 W Main Rd
Conneaut, OH 44030-2043
Phone (440) 997-6969
Hospital & facility affiliations
- Ashtabula County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170712003180 | OH | Practitioner - Nurse Practitioner | 2163666223 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.020239 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| University Hospitals Conneaut Medical Center | Current |
Accepting new patients | |
| Ashtabula County Medical Center | Current |
Accepting new patients | |
| University Hospitals Geneva Medical Center | Current |
Accepting new patients | |
| University Hospitals Conneaut Medical Center | Current |
Accepting new patients |
Locations
2259 Lake Ave
Ashtabula, OH 44004
Phone (440) 994-7550
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262
158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
234 N Chestnut St
Jefferson, OH 44047
Phone (440) 576-8933
8220 State Route 45
Orwell, OH 44076
Interoperability endpoints
- tburdick1198347@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.020239 | OH | Yes |
Addresses
Primary practice location
158 W Main Rd
Conneaut, OH 44030-2039
Mailing address
158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-1131
Other providers in Conneaut, OH
- Tracy Bidwell
- BMH Professional Corporation
- Brown Memorial Hospital
- Patricia Picard Brunot
- Kathaleen Renee Bucci
- James Edwin Burger
- Kelly Ann Burger
- Daniel Caicedo
- Jillian Calabrese
- Sherilyn R Carlo
All providers in Conneaut, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.