Averill Burger, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010570 Issued in FL

Practice address

26 Red Oak Dr
Culloden, WV 25510-9533

Phone

(304) 690-5110

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Florida Department of Health

  dba Madison County Health Department

  • Public Health or Welfare Agency
  • Madison, FL
  • NPI 1245200641

  Single Specialty

  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Monticello, FL
  • NPI 1346214491

  Single Specialty

  Medicare reassignment NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390

  Single Specialty

  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1609464957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RED OAK DR",
            "city": "CULLODEN",
            "state": "WV",
            "postal_code": "255109533",
            "telephone_number": "304-690-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RED OAK DR",
            "city": "CULLODEN",
            "state": "WV",
            "postal_code": "255109533",
            "telephone_number": "304-690-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "AVERILL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Culloden",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Culloden",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 Red Oak Dr",
            "city": "Culloden",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255109533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janice Edna Basham
• Natalie Diane Billups
• Christy Black
• Madeline Elyce Blake, RN
• Phyllis J Brown
• Cabell SNF LLC (Cabell Rehab & Nursing Center)
• Chelsea Renea Call
• George Cart III
• Johnifer Sue Chapman-Glagg
• Josephine Clark

• Family Nurse Practitioner in Culloden, WV
• Providers in Culloden, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.