Betty B Burnett, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-037625 Issued in AL

Practice address

1602 Church St SE
Decatur, AL 35601-3402

Phone

(256) 350-1458

Fax

(256) 350-1485

NPI assigned

Jul 9, 2008

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 2

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Centers for Developmentally Disabled, North Central Al

  • Family Nurse Practitioner
  • Decatur, AL
  • NPI 1740493436
  Medicare reassignment NPD

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1508029646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 CHURCH ST SE",
            "address_2": "PO BOX 2091",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013402",
            "telephone_number": "256-350-1458",
            "fax_number": "256-350-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 CHURCH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013402",
            "telephone_number": "256-350-1458",
            "fax_number": "256-350-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "BETTY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-037625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-19871",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136527",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan E Budisalich, PHARM.D
• Thomas Bullard
• Amanda L Burke, R, MR
• Kimberly Burkett, RN
• Barbara Bridges Burmester, CCC-SLP
• Jennifer Burns, CRNP
• Stacey M Burns, PHARMD
• Michael Alexander Burrow
• Monica Leigh Bush, CRNP
• Thomas Wayne Butler, R.P. (PHARMACIST)

• Family Nurse Practitioner in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.