Individual provider Active NPI

Lara Ashley Burer, CPNP

  • Pediatric Clinical Nurse Specialist
  • Roswell, GA
National Provider Identifier
1578790036
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
RN191841 NP Issued in GA
Practice address
11050 Crabapple Rd
Suite 120
Roswell, GA 30075-2489
Phone
(770) 518-9277
Fax
(770) 518-8718
NPI assigned
Jun 11, 2009
Last updated
Jun 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X RN191841 NP GA Primary

Addresses

Primary practice location

11050 Crabapple Rd
Suite 120
Roswell, GA 30075-2489

Mailing address

11050 Crabapple Rd
Suite 120
Roswell, GA 30075-2489
Phone (770) 518-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN191841 NPGAMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physicians, P.C. Past Accepting new patients
Snapfinger Woods Pediatric Associates P C Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1578790036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD",
            "address_2": "SUITE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752489",
            "telephone_number": "770-518-9277",
            "fax_number": "770-518-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD",
            "address_2": "SUITE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752489",
            "telephone_number": "770-518-9277",
            "fax_number": "770-518-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURER",
        "first_name": "LARA",
        "middle_name": "ASHLEY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "GA",
            "license": "RN191841 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.