Individual provider Active NPI

Aimee Lee Burrous, MNSC, APRN, AGACNP

  • Critical Care Medicine Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1609239474
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
ATP-000929 Issued in AR
Practice address
1464 N Corsica Dr
Fayetteville, AR 72704-6167
Phone
(479) 966-5342
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X ATP-000929 AR Primary

Addresses

Primary practice location

1464 N Corsica Dr
Fayetteville, AR 72704-6167

Mailing address

1464 N Corsica Dr
Fayetteville, AR 72704-6167
Phone (479) 966-5342

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ATP-000929ARMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Virginia Healthsource PastSince Mar 30, 2019 Accepting new patients

Organizations & group practices 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1609239474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 N CORSICA DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046167",
            "telephone_number": "479-966-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 N CORSICA DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046167",
            "telephone_number": "479-966-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUS",
        "first_name": "AIMEE",
        "middle_name": "LEE",
        "credential": "MNSC, APRN, AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "AR",
            "license": "ATP-000929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.