Individual provider Active NPI

Elizabeth Innes McBurney, MD

  • Specialist
  • Lafayette, LA
National Provider Identifier
1669494431
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.011078 Issued in LA
Practice address
1245 Camellia Boulevard
Suite 300
Lafayette, LA 70508
Phone
(337) 839-2773
Fax
(337) 839-2762
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD.011078 LA Primary

Addresses

Primary practice location

1245 Camellia Boulevard
Suite 300
Lafayette, LA 70508

Mailing address

1245 Camellia Blvd
Suite 300
Lafayette, LA 70508-7219
Phone (337) 839-2773

Other identifiers 1

IdentifierTypeStateIssuer
1136981MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060428000110 LA Practitioner - Dermatology 3274543798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1669494431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CAMELLIA BLVD",
            "address_2": "SUITE 300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087219",
            "telephone_number": "337-839-2773",
            "fax_number": "337-839-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CAMELLIA BOULEVARD",
            "address_2": "SUITE 300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-839-2773",
            "fax_number": "337-839-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBURNEY",
        "first_name": "ELIZABETH",
        "middle_name": "INNES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.011078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1136981",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.