Wendy Burnette, RN:258456-COA1

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

COA.11798-NP Issued in OH

Practice address

1490 University Blvd
Hamilton, OH 45011-3305

Phone

(513) 881-7189

Fax

(513) 881-7188

NPI assigned

Feb 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Butler Behavioral Health Services, Inc.Group PAC ID 9537061742, 14 clinicians

The Children'S Home of Cincinnati Ohio, IncGroup PAC ID 8729581640, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

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.

• Butler Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1053377184
  Medicare reassignment Care Compare group NPD
• The Children'S Home of Cincinnati Ohio, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1134278518
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1801219357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 UNIVERSITY BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113305",
            "telephone_number": "513-881-7189",
            "fax_number": "513-881-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 UNIVERSITY BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113305",
            "telephone_number": "513-881-7189",
            "fax_number": "513-881-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "WENDY",
        "credential": "RN:258456-COA1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.11798-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099502",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Burkholder, PHARMD
• Patricia Ann Burland
• Danisha Burnett
• Elizabeth Anne Burnett, MSW, LISW
• Nicolas Alan Burnett, B.S., CDCA
• Ashley Nicole Burns, LPN
• Christina Nicole Burns, QMHS
• Emily Anne Burns, LSW, LCDCIII
• Susan Burns, LISW
• Roger Shane Burton

• Psychiatric/Mental Health Nurse Practitioner in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.