Active NPI
Elizabeth Burns, NP
- Women's Health Clinical Nurse Specialist
- Chanhassen, MN
National Provider Identifier
1396747937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Clinical Nurse Specialist
- License
- 193893-5
- 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, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28088212A | IN | MD | Women's Health Nurse Practitioner |
| 193893-5 | MN | MD | Women's Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayur Home Health Inc | Past | 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.