Individual provider Active NPI

Charla Burchett, APRN

  • Nurse Practitioner
  • Olive Hill, KY
National Provider Identifier
1700329877
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010728 Issued in KY
Practice address
6902B Grahn Rd
Olive Hill, KY 41164-8147
Phone
(606) 286-0440
Fax
(855) 825-9752
NPI assigned
Nov 22, 2016
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010728 KY Primary

Addresses

Primary practice location

6902B Grahn Rd
Olive Hill, KY 41164-8147

Mailing address

6902B Grahn Rd
Olive Hill, KY 41164-8147
Phone (606) 286-0440

Other identifiers 1

IdentifierTypeStateIssuer
1225695851OtherTYPE 2 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170124000931 KY Practitioner - Nurse Practitioner 0143502336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2306 Smokey Vly
Olive Hill, KY 41164-8657

6902 B Grahn Rd
Olive Hill, KY 41164-8147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010728KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon L. Smith-Stephens, DNP, Aprn-BC, PLLC Nurse Practitioner CurrentSince Jun 19, 2023 Accepting new patients
Carter Telehealth PastSince Nov 5, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19906/brand/1/csg/1/fhir/r4

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1700329877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902B GRAHN RD",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411648147",
            "telephone_number": "606-286-0440",
            "fax_number": "855-825-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902B GRAHN RD",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411648147",
            "telephone_number": "606-286-0440",
            "fax_number": "855-825-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "CHARLA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1225695851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Hill, KY

Sources for this page

Verify at the official NPI Registry.