Individual provider Active NPI

Rana Diane Burnside, A.P.N.

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1639229339
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01507 Issued in AR
Practice address
520 N Pine St
Harrison, AR 72601-3442
Phone
(870) 741-0249
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A01507 AR Primary

Addresses

Primary practice location

520 N Pine St
Harrison, AR 72601-3442

Mailing address

204 Tamarind St
Harrison, AR 72601-4818
Phone (870) 741-7161

Other identifiers 2

IdentifierTypeStateIssuer
145381758MedicaidAR
500024097OtherARRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rana.burnside@nar.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110330000357 AR Practitioner - Nurse Practitioner 7113100041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arkansas Regional Medical CenterGroup PAC ID 5193615896, 86 clinicians

Practice addresses (Care Compare)

520 N Pine St
Suite B
Harrison, AR 72601-3442
Phone (870) 741-0249

Hospital & facility affiliations

  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01507ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince May 14, 2017 Accepting new patients
North Arkansas Regional Medical Center CurrentSince May 14, 2017 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

520 N Pine St
Harrison, AR 72601
Phone (870) 414-4000

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

520 N Spring St
Harrison, AR 72601
Phone (870) 741-8286

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

520 N Pine St
Ste B
Harrison, AR 72601
Phone (870) 741-0131

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1639229339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 TAMARIND ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014818",
            "telephone_number": "870-741-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PINE ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013442",
            "telephone_number": "870-741-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "RANA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145381758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500024097",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rana.burnside@nar.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 N Pine St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726013442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.