Individual provider Active NPI

Cristina M Burks, APN

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1447422712
Registry record updated Aug 3, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Aug 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000012864 Issued in TN
Practice address
5651 Frist Blvd 712
Hermitage, TN 37076-2061
Phone
(615) 872-9966
Fax
(615) 872-9967
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000012864 TN Primary

Addresses

Primary practice location

5651 Frist Blvd 712
Hermitage, TN 37076-2061

Mailing address

1052 Stonehollow Way
Mount Juliet, TN 37122-4571
Phone (615) 872-9966

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
12864TNMDGeneral Practice Dentistry
APN0000012864TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Totty Chiropractic Center, P.C. Past Accepting new patients
Totty Chiropractic Centers, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1447422712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 STONEHOLLOW WAY",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224571",
            "telephone_number": "615-872-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762061",
            "telephone_number": "615-872-9966",
            "fax_number": "615-872-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "CRISTINA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.