Individual provider Active NPI

Debra Ann Burlage, CNP

  • Family Nurse Practitioner
  • Brookings, SD
National Provider Identifier
1821272790
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000520 Issued in SD
Practice address
Wellness Center 154
2818
Brookings, SD 57007-0001
Phone
(605) 688-4157
Fax
(605) 688-6450
NPI assigned
Dec 27, 2007
Last updated
Apr 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000520 SD Primary

Addresses

Primary practice location

Wellness Center 154
2818
Brookings, SD 57007-0001

Mailing address

PO Box 2818
Brookings, SD 57007-0001
Phone (605) 688-4157

Other identifiers 1

IdentifierTypeStateIssuer
CP000520OtherSDCNP NUMBER

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
Certified Nurse Practitioner, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1821272790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2818",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570070001",
            "telephone_number": "605-688-4157",
            "fax_number": "605-688-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELLNESS CENTER 154",
            "address_2": "2818",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570070001",
            "telephone_number": "605-688-4157",
            "fax_number": "605-688-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLAGE",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP NUMBER",
            "identifier": "CP000520",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.