Individual provider Active NPI

Christine Burns, PA-C

  • Medical Physician Assistant
  • Reno, NV
National Provider Identifier
1700902012
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1128 Issued in NV
Practice address
5437 Kietzke LN
Reno, NV 89511-1088
Phone
(775) 322-4550
Fax
(775) 322-4956
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1128 NV Primary

Addresses

Primary practice location

5437 Kietzke LN
Reno, NV 89511-1088

Mailing address

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 322-4550

Other practice location 1

2340 S Carson St Ste A
Carson City, NV 89701-4540
Phone (775) 322-4550

Other identifiers 1

IdentifierTypeStateIssuer
11807694OtherNVCAQH

Other names 1

  • Christine Kazonich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20091207000463 NV Practitioner - Physician Assistant 6901900554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amanjit Dhatt MD LLCGroup PAC ID 8527222009, 2 clinicians

Practice addresses (Care Compare)

6580 S McCarran Blvd
Suite C
Reno, NV 89509-6140
Phone (775) 440-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1128NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anit D Ford MD PA PastSince May 1, 2015 Accepting new patients
Avicenna Physician Services Inc PastSince Oct 1, 2025 Accepting new patients
Jonathan D Burns PastSince Jun 1, 2020 Accepting new patients
Renown Urgent Care LLC Past Accepting new patients
Colonial Emergency Physicians Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1700902012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 S Carson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897014540",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11807694",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KAZONICH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.