Individual provider Active NPI

Elizabeth Burns, NP

  • Women's Health Clinical Nurse Specialist
  • Chanhassen, MN
National Provider Identifier
1396747937
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
193893-5 Issued in MN
Practice address
470 W 78TH St
Suite 250
Chanhassen, MN 55317-4524
Phone
(800) 955-8346
NPI assigned
Aug 12, 2005
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 28088212A IN
Women's Health Clinical Nurse Specialist 364SW0102X 193893-5 MN Primary

Addresses

Primary practice location

470 W 78TH St
Suite 250
Chanhassen, MN 55317-4524

Mailing address

PO Box 29279
Indianapolis, IN 46229-0279
Phone (317) 523-9408

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

State licenses

LicenseStateTypeSpecialty
28088212AINMDWomen's Health Nurse Practitioner
193893-5MNMDWomen's Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ayur Home Health Inc PastSince Apr 4, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1396747937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29279",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462290279",
            "telephone_number": "317-523-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "address_2": "SUITE 250",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174524",
            "telephone_number": "800-955-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28088212A",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "MN",
            "license": "193893-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.