Charlotte L Burley, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9415244 Issued in FL

Practice address

421 SE Alfred Markham St
Lake City, FL 32025-2204

Phone

(386) 697-1364

Fax

(888) 370-3379

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Cec, LLC

  • Ophthalmology Physician
  • Ellsworth, ME
  • NPI 1376900720
  NPD
• Coastal Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Ellsworth, ME
  • NPI 1366620726
  NPD (past)
• Kennebec Anesthesia Associates, P.a.

  • Anesthesiology Physician
  • Augusta, ME
  • NPI 1992789184
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1700874427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SE ALFRED MARKHAM ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320252204",
            "telephone_number": "386-697-1364",
            "fax_number": "888-370-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE ALFRED MARKHAM ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320252204",
            "telephone_number": "386-697-1364",
            "fax_number": "888-370-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "R028645",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9415244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montavious Bryant, LCSW
• John Christopher Bullard, PHARMD
• Patricia Buonvino, CRTT
• Jenny Burk
• Taylor C Burker
• Christy L Burnsed
• Stephanie Burt
• Robert George Busch, D.O.
• Sergio Bustos Munoz, MD
• Tennille Butler

• Certified Registered Nurse Anesthetist in Lake City, FL
• Providers in Lake City, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.