Individual provider Active NPI

Cynthia Dawn Burdick, FNP-C

  • Family Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1700254497
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000478 Issued in CO
Practice address
101 N Hermitage Rd
Beaufort, SC 29902-5321
Phone
(803) 699-9073
Fax
(866) 527-0937
NPI assigned
Sep 11, 2015
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19677 SC
Family Nurse Practitioner 363LF0000X 19677 SC
Family Nurse Practitioner 363LF0000X 0000478 CO Primary

Addresses

Primary practice location

101 N Hermitage Rd
Beaufort, SC 29902-5321

Mailing address

PO Box 487
Lexington, SC 29071-0487
Phone (803) 699-9073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160425001253 CO Practitioner - Nurse Practitioner 4385943422
I20241002003981 SC Practitioner - Nurse Practitioner 4385943422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health Associates, PAGroup PAC ID 6204739881, 9 clinicians

Practice addresses (Care Compare)

101 N Hermitage Rd
Beaufort, SC 29902-5321
Phone 8036999073170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19677SCMDNurse Practitioner
0000478COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Associates, PA CurrentSince Jul 1, 2024 Accepting new patients
Abundance Health Care Family PastSince Jan 29, 2017 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1700254497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290710487",
            "telephone_number": "803-699-9073",
            "fax_number": "866-527-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N HERMITAGE RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025321",
            "telephone_number": "803-699-9073",
            "fax_number": "866-527-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0000478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.