NPIMap

Individual provider Active NPI

Teena Maria Burchianti, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1649230301
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2743102 Issued in FL
Practice address
2015 Jefferson St
Jacksonville, FL 32206-3531
Phone
(904) 588-1800
Fax
(904) 588-1300
NPI assigned
Mar 27, 2006
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2743102 FL Primary

Addresses

Primary practice location

2015 Jefferson St
Jacksonville, FL 32206-3531

Mailing address

PO Box 116304
Atlanta, GA 30368-6304
Phone (904) 588-1800

Other identifiers 2

IdentifierTypeStateIssuer
3052699-00MedicaidFL
326712903AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000133 FL Practitioner - Nurse Practitioner 1254337074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Proton Therapy Institute IncGroup PAC ID 0749285609, 12 clinicians

Practice addresses (Care Compare)

2015 Jefferson St
Jacksonville, FL 32206-3531
Phone (904) 588-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.48 of 100Reported as group
Quality
52.75
Promoting interoperability
0
Improvement activities
40
Cost
78.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Proton Therapy Institute Inc CurrentSince Jul 1, 2006 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2015 Jefferson St
Jacksonville, FL 32206
Phone (904) 588-1239

Interoperability endpoints

  • Direct secure messaging: tburchianti37221@direct.shands.ufl.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1649230301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686304",
            "telephone_number": "904-588-1800",
            "fax_number": "904-588-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063531",
            "telephone_number": "904-588-1800",
            "fax_number": "904-588-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHIANTI",
        "first_name": "TEENA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2743102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3052699-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326712903A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.