Active NPI
Patricia Marie Burgunder, ARNP
- Adult Health Nurse Practitioner
- Oviedo, FL
National Provider Identifier
1376575696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP2148302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.