Active NPI
Diane H Burnett, ARNP
- Pediatric Nurse Practitioner
- Louisville, KY
National Provider Identifier
1669458774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3000686
- Practice address
- 210 E Gray St
Ste 601
Louisville, KY 40202-3902 - Phone
- (502) 588-3600
- Fax
- (502) 588-9536
- NPI assigned
- Dec 20, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3000686 | KY | Primary |
Addresses
Primary practice location
210 E Gray St
Ste 601
Louisville, KY 40202-3902
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200855480 | Medicaid | IN | |
| 78003548 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dburnett43518@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commission for Children With Special Health Car | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1831197953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1669458774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-3600",
"fax_number": "502-588-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E GRAY ST",
"address_2": "STE 601",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023902",
"telephone_number": "502-588-3600",
"fax_number": "502-588-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "DIANE",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3000686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200855480",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78003548",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dburnett43518@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "210 E Gray St",
"address_2": "Ste 601",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402023902",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "210 E Gray St",
"address_2": "Ste 601",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402023902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.