Individual provider Active NPI

Christy Denise Vanburen, FNP-C

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1568584530
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9361325 Issued in FL
Practice address
500 Dr Martin Luther King Jr St N Ste 303
St Petersburg, FL 33705-1470
Phone
(727) 210-5253
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 APRN9361325 FL Primary

Addresses

Primary practice location

500 Dr Martin Luther King Jr St N Ste 303
St Petersburg, FL 33705-1470

Mailing address

500 Dr Martin Luther King Jr St N
St Petersburg, FL 33705-1472
Phone (727) 210-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040512000098 GA Practitioner - Nurse Practitioner 2466441662 Reassigns benefits to 2 organizations
I20130916000110 FL Practitioner - Nurse Practitioner 2466441662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside Emergency Physicians PAGroup PAC ID 6103988332, 19 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 825-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC CurrentSince Jan 1, 2015 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
FL-I Medical Services LLC CurrentSince Jan 1, 2015 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 29, 2018 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Apr 1, 2018 Accepting new patients
Georgia Arrhythmia Consultants and Research Institute Past Accepting new patients
Sunshine City Emergency Physicians Past Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC PastSince Oct 1, 2023 Accepting new patients
Brodrick ER SVCS Partnership LLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Organizations & group practices 11

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1568584530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051472",
            "telephone_number": "727-210-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DR MARTIN LUTHER KING JR ST N STE 303",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051470",
            "telephone_number": "727-210-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUREN",
        "first_name": "CHRISTY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-12-21",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9361325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.