Individual provider Active NPI

Patricia Marie Burgunder, ARNP

  • Adult Health Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1376575696
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2148302 Issued in FL
Practice address
1000 W Broadway St
Suite 205
Oviedo, FL 32765-9260
Phone
(407) 706-1650
Fax
(407) 706-1651
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2148302 FL Primary

Addresses

Primary practice location

1000 W Broadway St
Suite 205
Oviedo, FL 32765-9260

Mailing address

1000 W Broadway St
Suite 205
Oviedo, FL 32765-9260
Phone (407) 706-1650

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1376575696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "address_2": "SUITE 205",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "407-706-1650",
            "fax_number": "407-706-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "address_2": "SUITE 205",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "407-706-1650",
            "fax_number": "407-706-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGUNDER",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2148302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.