Individual provider Active NPI

Lisa M Burton, ARNP

  • Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1477867158
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6135P Issued in KY
Practice address
350 Park St Ste 206
Bowling Green, KY 42101-1784
Phone
(270) 746-0440
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6135P KY Primary

Addresses

Primary practice location

350 Park St Ste 206
Bowling Green, KY 42101-1784

Mailing address

214 Brandywood CT
Bowling Green, KY 42101-3911
Phone (270) 842-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6135PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. Nurse Practitioner CurrentSince May 1, 2014 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince May 1, 2014 Accepting new patients
Commonwealth Health Corporation, Inc Nurse Practitioner Current Accepting new patients
Medical Specialists of Central Kentucky, P.S.C. Past Accepting new patients

Locations

350 Park St
Ste 206
Bowling Green, KY 42101
Phone (270) 746-0440

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

720 2nd Ave
Ste 307
Bowling Green, KY 42101

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

1326 Andrea St
Bowling Green, KY 42104
Phone (270) 746-0440

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1477867158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BRANDYWOOD CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013911",
            "telephone_number": "270-842-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK ST STE 206",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-746-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6135P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.