Sharon Jones Burtlow, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-014568 Issued in IL

Practice address

1201 Meriden St
Mendota, IL 61342-2501

Phone

(815) 539-3739

Fax

(815) 539-3753

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Ortho Rehab Specialists PLLC

  • Physical Therapist
  • Rockford, IL
  • NPI 1891330882
  NPD (past)
• Pic Wisconsin SC

  dba Physicians Urgent Care

  • Urgent Care Clinic/Center
  • Brookfield, WI
  • NPI 1124678354
  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1497203376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MERIDEN ST",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613422501",
            "telephone_number": "815-539-3739",
            "fax_number": "815-539-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MERIDEN ST",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613422501",
            "telephone_number": "815-539-3739",
            "fax_number": "815-539-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES BURTLOW",
        "first_name": "SHARON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-014568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Manor - Mendota, LLC (Heritage Health - Mendota)
• Heritage Manor Mendota, LLC (Heritage Health - Mendota)
• Highland Park CVS, L.L.C. (CVS Pharmacy # 06897)
• Ashlee Hoff, OTR
• Joshua Chase Humphrey, O.T.R.
• Tracie R Kelly, APRN
• Eric A Kivisto, DO
• Krenz Dental Corp. LTD
• Jon C Krenz, DMD
• Marcela Renee Lemus, FNP-C

• Family Nurse Practitioner in Mendota, IL
• Providers in Mendota, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.