Individual provider Active NPI

Katrina Burks, NP

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1447633565
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0109464 Issued in VT
Practice address
173 Saint Paul St
Burlington, VT 05401-4636
Phone
(866) 476-1321
Fax
(802) 863-4951
NPI assigned
Jul 7, 2015
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 084296-23 NH
Family Nurse Practitioner 363LF0000X CNP201517 ME
Family Nurse Practitioner 363LF0000X 101.0109464 VT Primary

Addresses

Primary practice location

173 Saint Paul St
Burlington, VT 05401-4636

Mailing address

784 Hercules Dr Ste 110
Attn Credentialing/Raychel Nelson
Colchester, VT 05446-8049
Phone (802) 448-9787

Other identifiers 2

IdentifierTypeStateIssuer
1025621MedicaidVT
3126540MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, ME, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150923001357 VT Practitioner - Nurse Practitioner 2567779598 Reassigns benefits to 1 organization
I20210210001182 ME Practitioner - Nurse Practitioner 2567779598 Reassigns benefits to 1 organization
I20210311000109 NH Practitioner - Nurse Practitioner 2567779598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Planned Parenthood of Northern New England, IncGroup PAC ID 8729069505, 41 clinicians

Practice addresses (Care Compare)

173 Saint Paul St
Burlington, VT 05401-4636
Phone (802) 863-6326

187 Saint Paul St
Suite 104
Burlington, VT 05401-4636

24 Pennacook St
Manchester, NH 03104-3554
Phone (603) 669-7321

443 Congress St
FL 2
Portland, ME 04101-3531
Phone (207) 797-8881

90 Washington St
Barre, VT 05641-4239
Phone (802) 475-6696

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England, Inc CurrentSince Jul 7, 2015 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Mar 4, 2021 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Dec 1, 2019 Accepting new patients
Planned Parenthood of Northern New England PastSince Feb 2, 2021 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients

Locations

275 Main St
Ste 102
Biddeford, ME 04005
Phone (207) 282-6200

886 Main St
Ste 200B
Sanford, ME 04073
Phone (207) 324-9385

4 Bowdoin Mill Is
Ste 101
Topsham, ME 04086
Phone (207) 725-8264

4 Birch St
Derry, NH 03038
Phone (603) 434-1354

108 High St
Exeter, NH 03833
Phone (603) 772-9315

8 Middle St
Keene, NH 03431
Phone (603) 352-6898

24 Pennacook St
Manchester, NH 03104
Phone (603) 669-7321

90 Washington St
Barre, VT 05641
Phone (802) 475-6696

6 High St
Brattleboro, VT 05301
Phone (802) 257-0534

128 Lakeside Ave
Ste 301
Burlington, VT 05401
Phone (802) 448-9784

173 Saint Paul St
Burlington, VT 05401
Phone (802) 863-6326

784 Hercules Dr
Ste 110
Colchester, VT 05446
Phone (802) 448-9784

11 Burnham Ave
Rutland, VT 05701
Phone (802) 775-2333

501 Portland St
St Johnsbury, VT 05819
Phone (802) 363-3209

79 S Main St
White River Junction, VT 05001
Phone (802) 281-6056

75 Talcott Rd
Ste 10
Williston, VT 05495
Phone (802) 879-4800

Organizations & group practices 9

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1447633565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HERCULES DR STE 110",
            "address_2": "ATTN CREDENTIALING/RAYCHEL NELSON",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468049",
            "telephone_number": "802-448-9787",
            "fax_number": "802-448-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SAINT PAUL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014636",
            "telephone_number": "866-476-1321",
            "fax_number": "802-863-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "KATRINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "084296-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0109464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025621",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126540",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.