Individual provider Active NPI

Donnamarie Burris, AGACNP -BC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1578984936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9983 Issued in AZ
Practice address
5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306-1870
Phone
(602) 298-7777
Fax
(623) 930-6060
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.15390-NP OH
Family Nurse Practitioner 363LF0000X AP9983 AZ Primary

Addresses

Primary practice location

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306-1870

Mailing address

5859 W Talavi Blvd
Glendale, AZ 85306-1869
Phone (602) 298-7777

Other identifiers 3

IdentifierTypeStateIssuer
Z212194OtherAZMEDICARE PTAN
Z201835OtherAZMEDICARE PTAN
272578MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170613002234 AZ Practitioner - Nurse Practitioner 7618106428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15390-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Jun 9, 2017 Accepting new patients
Phoenix Heart, PLLC CurrentSince Jun 1, 2017 Accepting new patients
Phoenix Heart, PLLC Family CurrentSince Jun 1, 2017 Accepting new patients

Locations

10320 W McDowell Rd
Ste N1445
Avondale, AZ 85392
Phone (623) 547-2100

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

450 S Willard St
Ste 107
Cottonwood, AZ 86326
Phone (928) 639-0909

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

140 N Litchfield Rd
Ste 104
Goodyear, AZ 85338
Phone (480) 478-0444

7205 S 51st Ave
Ste 103
Laveen, AZ 85339

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

3210 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 788-4793

10293 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 747-6535

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: donnamarie.burris.1@24502.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578984936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061869",
            "telephone_number": "602-298-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD",
            "address_2": "STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061870",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "DONNAMARIE",
        "name_prefix": "Ms.",
        "credential": "AGACNP -BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15390-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z212194",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z201835",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272578",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.