Individual provider Active NPI

Elizabeth Dawn Burnette, FNP

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1639489966
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010656 Issued in NC
Practice address
3918 Bishop Rd
Rocky Mount, NC 27804-2780
Phone
(252) 299-0057
Fax
(252) 673-2518
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 25360 MT
Family Nurse Practitioner 363LF0000X 25360 MT
Family Nurse Practitioner 363LF0000X 5010656 NC Primary

Addresses

Primary practice location

3918 Bishop Rd
Rocky Mount, NC 27804-2780

Mailing address

3918 Bishop Rd
Rocky Mount, NC 27804-2248
Phone (252) 299-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140520000743 MT Practitioner - Nurse Practitioner 9830312800 Reassigns benefits to 1 organization
I20180905003854 NC Practitioner - Nurse Practitioner 9830312800 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25360MTMDRegistered Nurse
5010656NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and Urgent Care of Nashville, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Clinic on the Corner, PLLC CurrentSince Oct 10, 2022 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Sep 1, 2018 Accepting new patients
Cogent Healthcare of North Carolina, PC CurrentSince Sep 1, 2018 Accepting new patients
Big Horn Hospital Association CurrentSince Apr 11, 2014 Accepting new patients
Big Horn Hospital Association CurrentSince Apr 11, 2014 Accepting new patients

Locations

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

3918 Bishop Rd
Battleboro, NC 27809
Phone (252) 299-0057

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

107 W Nashville Dr
Ste A
Nashville, NC 27856
Phone (252) 676-8285

107 W Nashville Dr
Nashville, NC 27856
Phone (252) 822-3583

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Interoperability endpoints

  • Direct secure messaging: elizabeth.burnette.1@28212.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDABDD

Organizations & group practices 6

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1639489966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 BISHOP RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042248",
            "telephone_number": "252-299-0057",
            "fax_number": "252-673-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 BISHOP RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042780",
            "telephone_number": "252-299-0057",
            "fax_number": "252-673-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "25360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "25360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.