Individual provider Active NPI

Heather Brooks Burson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1417630146
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11027768 Issued in FL
Practice address
2708 Shade Tree Dr
Fleming Island, FL 32003-4975
Phone
(678) 464-6003
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11027768 FL Primary

Addresses

Primary practice location

2708 Shade Tree Dr
Fleming Island, FL 32003-4975

Mailing address

2708 Shade Tree Dr
Fleming Island, FL 32003-4975
Phone (678) 464-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240131000960 FL Practitioner - Nurse Practitioner 6608229216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Angela White Arnp PLLCGroup PAC ID 8022206465, 2 clinicians

Practice addresses (Care Compare)

514 Los Palmas Dr
Fleming Island, FL 32003-8207
Phone (904) 544-3608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11027768FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angela White Arnp PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Wekiva Springs Center LLC CurrentSince Dec 13, 2023 Accepting new patients
Thoughtful Psychiatry Psychiatric/Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Angela White Arnp PLLC Past Accepting new patients

Locations

3947 Salisbury Rd
Jacksonville, FL 32216
Phone (904) 296-3522

Interoperability endpoints

  • Direct secure messaging: hbburson@angelawhitearnppllc.kareodirect.com

Organizations & group practices 4

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1417630146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SHADE TREE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034975",
            "telephone_number": "678-464-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 SHADE TREE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034975",
            "telephone_number": "678-464-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSON",
        "first_name": "HEATHER",
        "middle_name": "BROOKS",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.