Individual provider Active NPI

Alyssa Ancipink Burt, NP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1801272869
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17418 Issued in OH
Practice address
7257 Wooster Pike
Cincinnati, OH 45227-3830
Phone
(513) 335-1910
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17418-NP OH
Family Nurse Practitioner 363LF0000X APRN.CNP.17418 OH Primary

Addresses

Primary practice location

7257 Wooster Pike
Cincinnati, OH 45227-3830

Mailing address

4027 Burwood Ave
Cincinnati, OH 45212-3905
Phone (937) 671-5210

Other practice location 1

914 W Main St
Tipp City, OH 45371-1337
Phone (937) 667-4032

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17418OHMDFamily Nurse Practitioner
COA.17418-NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1801272869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 BURWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123905",
            "telephone_number": "937-671-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 WOOSTER PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273830",
            "telephone_number": "513-335-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 W Main St",
            "address_purpose": "LOCATION",
            "city": "Tipp City",
            "state": "OH",
            "postal_code": "453711337",
            "country_code": "US",
            "telephone_number": "937-667-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "ALYSSA",
        "middle_name": "ANCIPINK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17418-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.