Active NPI
Carolyn Sue Burns, RD
- Registered Dietitian
- Evansville, IN
National Provider Identifier
1689756645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001038A
- Practice address
- 421 Chestnut St
Evansville, IN 47713-1227 - Phone
- (812) 426-9372
- Fax
- (812) 426-9778
- NPI assigned
- Oct 19, 2006
- Last updated
- Dec 23, 2008
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001038A | IN | Primary |
Addresses
Primary practice location
421 Chestnut St
Evansville, IN 47713-1227
Mailing address
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-9372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000560815 | Other | IN | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37001038A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1689756645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 CHESTNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131227",
"telephone_number": "812-426-9372",
"fax_number": "812-426-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 CHESTNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131227",
"telephone_number": "812-426-9372",
"fax_number": "812-426-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "CAROLYN",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001038A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000560815",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.