Individual provider Active NPI

Janice Burgess, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1548343387
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14438 Issued in TN
Practice address
4015 Highwood Dr
Chattanooga, TN 37415-3101
Phone
(423) 451-7623
Fax
(423) 451-7677
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14438 TN Primary

Addresses

Primary practice location

4015 Highwood Dr
Chattanooga, TN 37415-3101

Mailing address

9400 Sparta Hwy
Crossville, TN 38572-7282
Phone (931) 277-5992

Other identifiers 4

IdentifierTypeStateIssuer
14438OtherTNLICENSE
280155OtherTNAMERICAN NURSES CREDENTIALING CENTER CERTIFICATION
14438OtherLICENSE
280155OtherAMERICAN NURSES CREDENTIALING CENTER CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20100324000776 TN Practitioner - Nurse Practitioner 9335172055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Home Visits IncGroup PAC ID 0345322236, 2 clinicians

Practice addresses (Care Compare)

4015 Highwood Dr
Chattanooga, TN 37415-3101
Phone (423) 451-7623

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14438TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Clinic of the Cumberlands, Inc CurrentSince Mar 1, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1548343387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SPARTA HWY",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385727282",
            "telephone_number": "931-277-5992",
            "fax_number": "931-277-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 HIGHWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153101",
            "telephone_number": "423-451-7623",
            "fax_number": "423-451-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER CERTIFICATION",
            "identifier": "280155",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER CERTIFICATION",
            "identifier": "280155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.