Active NPI
Madeleine Carol Burgess, CFNP
- Family Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1609946342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-03017
- Practice address
- 1155 Commerce Dr
Suite G
Las Cruces, NM 88011-8257 - Phone
- (575) 647-5337
- Fax
- (575) 647-5338
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1106370 | KY | |
| Registered Nurse | 163W00000X | 16072 | ID | |
| Family Nurse Practitioner | 363LF0000X | 4594P | KY | |
| Family Nurse Practitioner | 363LF0000X | 16073A | ID | |
| Registered Nurse | 163W00000X | RN-84646 | NM | |
| Family Nurse Practitioner | 363LF0000X | CNP-03017 | NM | Primary |
Addresses
Primary practice location
1155 Commerce Dr
Suite G
Las Cruces, NM 88011-8257
Mailing address
1009 Golf Course Rd SE Ste 109
Rio Rancho, NM 87124-4705
Phone (505) 891-3344
Other names 1
- Lindi Carol Sather
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16072 | ID | MD | Registered Nurse |
| 1106370 | KY | MD | Registered Nurse |
| 16073A | ID | MD | Family Nurse Practitioner |
| CNP-03017 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
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.
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
-
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
- NPI 1609737618
-
- Rheumatology Physician
- Grand Junction, CO
- NPI 1942929641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1609946342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 GOLF COURSE RD SE STE 109",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244705",
"telephone_number": "505-891-3344",
"fax_number": "505-896-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 COMMERCE DR",
"address_2": "SUITE G",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118257",
"telephone_number": "575-647-5337",
"fax_number": "575-647-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "MADELEINE",
"middle_name": "CAROL",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1106370",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "16072",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4594P",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "16073A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-84646",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-03017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDI",
"last_name": "SATHER",
"middle_name": "CAROL",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.