Individual provider Active NPI

Chelsea Burnett, CRNP

  • Nurse Practitioner
  • Clanton, AL
National Provider Identifier
1396381299
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-150130 Issued in AL
Practice address
107 Medical Center Dr
Clanton, AL 35045-2331
Phone
(205) 755-3980
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-150130 AL Primary

Addresses

Primary practice location

107 Medical Center Dr
Clanton, AL 35045-2331

Mailing address

107 Medical Center Dr
Clanton, AL 35045-2331
Phone (205) 755-3980

Other practice location 1

208 Pierson Ave # 2918
Centreville, AL 35042-2918
Phone (205) 926-4694

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cburnett@bibbmedicalcenter.com Direct
Direct Messaging Address cburnett@bibbmedicalcenter.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203001862 AL Practitioner - Nurse Practitioner 7517393903 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Inc Current Accepting new patients
Wound Management Specialists, LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Health Services Inc CurrentSince Jun 21, 2022 Accepting new patients
Health Services Inc CurrentSince Jun 21, 2022 Accepting new patients
Health Services, Inc. CurrentSince Jun 21, 2022 Accepting new patients

Locations

107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478

33 Salem Rd
#2
Montevallo, AL 35115

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1396381299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452331",
            "telephone_number": "205-755-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452331",
            "telephone_number": "205-755-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Pierson Ave # 2918",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "AL",
            "postal_code": "350422918",
            "country_code": "US",
            "telephone_number": "205-926-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CHELSEA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-150130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cburnett@bibbmedicalcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 Pierson Ave # 2918",
            "city": "Centreville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350422918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cburnett@bibbmedicalcenter.org",
            "affiliation": "N",
            "endpointDescription": "business emial",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "208 Pierson Ave",
            "city": "Centreville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350422918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.