Sandra Jean Burt, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R1088678 Issued in MN

Practice address

900 Nicollet Mall
Minneapolis, MN 55403-2530

Phone

(612) 659-7111

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Jean Leiter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1477547982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 TAYLOR ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183732",
            "telephone_number": "612-788-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NICOLLET MALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032530",
            "telephone_number": "612-659-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1088678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640121000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LEITER",
            "middle_name": "JEAN",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Spiewak Burrus, PA-C
• Elena J Bursch
• Lawrence Burstein, M.D.
• Emma Burt
• Marsha Burt
• Sara Burt
• David A Burton, M.D.
• David Ashley Burton, LCSW
• Susan Lynne Burton, M.D.
• Diane Haglund Bury, OT

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.