Active NPI
Ashley Lauren Burleson, NP-C
- Adult Health Nurse Practitioner
- North Charleston, SC
National Provider Identifier
1710138557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3593
- Practice address
- 2880 Tricom St
North Charleston, SC 29406-9171 - Phone
- (843) 797-5050
- Fax
- (843) 797-3633
- NPI assigned
- Oct 9, 2008
- Last updated
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3593 | SC | Primary |
Addresses
Primary practice location
2880 Tricom St
North Charleston, SC 29406-9171
Mailing address
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225006760 | Other | SC | GROUP NPI NO. |
| 1326287434 | Other | SC | MEDICAID DME NPI |
| 20083697 | Other | SC | SELECT HEALTH FIRST CHOICE |
| 57-0634057 | Other | SC | GROUP TAX ID # |
| NP1368 | Medicaid | SC | |
| 56162 | Other | SC | MEDCOST |
| 1701 | Other | SC | GROUP MEDICARE |
| 20076508 | Other | SC | SELECT HEALTH DME |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3593 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Orthopaedic Associates PA | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lowcountry Orthopaedics & Sports Medicine
- Orthopaedic Surgery Physician
- N Charleston, SC
- NPI 1225006760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1710138557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLESON",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "3593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NO.",
"identifier": "1225006760",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME NPI",
"identifier": "1326287434",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH FIRST CHOICE",
"identifier": "20083697",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID #",
"identifier": "57-0634057",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1368",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "56162",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "1701",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH DME",
"identifier": "20076508",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.