Individual provider Active NPI

Elizabeth A Henry Burnett, DC

  • Chiropractor
  • Cambridge Springs, PA
National Provider Identifier
1629025622
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008869 Issued in PA
Practice address
22295 Highway 6 and 19
Cambridge Springs, PA 16403
Phone
(814) 398-2887
NPI assigned
May 27, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008869 PA Primary

Addresses

Primary practice location

22295 Highway 6 and 19
Cambridge Springs, PA 16403

Mailing address

22295 Highway 6 and 19
Cambridge Springs, PA 16403
Phone (814) 398-2887

Other identifiers 1

IdentifierTypeStateIssuer
0019514330001MedicaidPA

Other names 1

  • Elizabeth A Henry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000047 PA Practitioner - Chiropractic 9830268580 Practice locations: Cambridge Springs, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22295 Hwy 6 and 19
Cambridge Springs, PA 16403-3461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry-Burnett Chiropractic Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

22295 Highway 19
Cambridge Springs, PA 16403
Phone (814) 398-2887

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, 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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1629025622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22295 HIGHWAY 6 AND 19",
            "city": "CAMBRIDGE SPRINGS",
            "state": "PA",
            "postal_code": "16403",
            "telephone_number": "814-398-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22295 HIGHWAY 6 AND 19",
            "city": "CAMBRIDGE SPRINGS",
            "state": "PA",
            "postal_code": "16403",
            "telephone_number": "814-398-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY BURNETT",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019514330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HENRY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.