Active NPI
Lovell Carl March Burrell, PMHNP-BC, MD, MSN
- Psychiatric/Mental Health Nurse Practitioner
- Maitland, FL
National Provider Identifier
1699416883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11019026
- Practice address
- 260 Lookout PL Ste 202
Maitland, FL 32751-4485 - Phone
- (407) 537-9450
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9532396 | FL | |
| General Practice Physician | 208D00000X | 9532396 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11019026 | FL | Primary |
Addresses
Primary practice location
260 Lookout PL Ste 202
Maitland, FL 32751-4485
Mailing address
260 Lookout PL Ste 202
Maitland, FL 32751-4485
Other practice location 1
2081 Suwannee Banks St
Clermont, FL 34711-9548
Phone (407) 781-6531
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
- Credentials
- Doctor of Medicine, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9532396 | FL | MD | Registered Nurse |
| 9532396 | FL | MD | General Practice Physician |
| APRN11019026 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMB Health Incorporated | Current | 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.
-
- Nursing Facility/Intermediate Care Facility
- Clermont, FL
- NPI 1962186502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1699416883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 LOOKOUT PL STE 202",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 LOOKOUT PL STE 202",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514485",
"telephone_number": "407-537-9450"
}
],
"practiceLocations": [
{
"address_1": "2081 Suwannee Banks St",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347119548",
"country_code": "US",
"telephone_number": "407-781-6531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURRELL",
"first_name": "LOVELL",
"middle_name": "CARL MARCH",
"name_prefix": "Dr.",
"credential": "PMHNP-BC, MD, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9532396",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "9532396",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11019026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.