Martina Lynette Burden, A-GAPRN-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11024138 Issued in FL

Practice address

2560 Judge Fran Jamieson Way Unit 1110
Melbourne, FL 32940-6195

Phone

(305) 896-2783

NPI assigned

Feb 24, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martina.burden.1@31553.direct.athenahealth.com

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.

• Dover Shores Family Practice

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1417683707
  Medicare reassignment Care Compare group NPD
• Healthy Minors LLC

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1144766635
  Medicare reassignment
• Primary Care Specialists of Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1740559939
  NPD
• Traditions Family Medicine, LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1548924236
  NPD (past)

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1558060871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 JUDGE FRAN JAMIESON WAY UNIT 1110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406195",
            "telephone_number": "305-896-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 JUDGE FRAN JAMIESON WAY UNIT 1110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406195",
            "telephone_number": "305-896-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "MARTINA",
        "middle_name": "LYNETTE",
        "credential": "A-GAPRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11024138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Bulmer, BCBA
• Michelle L Bumpers, AUD
• Victoria Burack
• Jordan Lynle Burbank-Mize
• Suzanne Michele Burbank, OTR/L, CLT
• Laci Ann Burgess, RN
• Morgan D Burgess
• Melissa A. Burgos-Martir, MD
• Dana Burke
• Hannah Burke

• Gerontology Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.