Individual provider Active NPI

Cynthia Burnett, FNP

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1679339618
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031515 Issued in FL
Practice address
61 Grey Hawk Dr
Saint Augustine, FL 32092-1151
Phone
(386) 546-9964
NPI assigned
Feb 27, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 11031515 FL Primary

Addresses

Primary practice location

61 Grey Hawk Dr
Saint Augustine, FL 32092-1151

Mailing address

61 Grey Hawk Dr
Saint Augustine, FL 32092-1151
Phone (386) 546-9964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251016001724 FL Practitioner - Nurse Practitioner 6305345315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncorporatedGroup PAC ID 7214849520, 29 clinicians

Practice addresses (Care Compare)

100 Commercial Dr
Keystone Heights, FL 32656-6802
Phone (352) 473-6595

1213 State Rd
Suite 20
Interlachen, FL 32148-2737
Phone (386) 328-0108

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371

1305 N Orange Ave
Suite 120 123
Green Cove Springs, FL 32043-2547
Phone (904) 284-5904

22066 SE 71St Ave
Hawthorne, FL 32640-3969
Phone (352) 481-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031515FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated CurrentSince Oct 7, 2025 Accepting new patients
Rural Health Care, Inc. CurrentSince Oct 7, 2025 Accepting new patients
Lighthouse Pediatrics PLLC Past Accepting new patients

Locations

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

Interoperability endpoints

  • Direct secure messaging: cynthia.burnett.p1@direct.azahealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1679339618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GREY HAWK DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921151",
            "telephone_number": "386-546-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GREY HAWK DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921151",
            "telephone_number": "386-546-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CYNTHIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.