Individual provider Active NPI

Donna D Burroughs, APRN, CDE, CWCN

  • Adult Health Clinical Nurse Specialist
  • Anderson, SC
National Provider Identifier
1831213545
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
1888 Issued in SC
Practice address
100 Healthy Way
Suite 1210
Anderson, SC 29621-7915
Phone
(864) 512-4160
Fax
(864) 512-4165
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 1888 SC Primary

Addresses

Primary practice location

100 Healthy Way
Suite 1210
Anderson, SC 29621-7915

Mailing address

100 Healthy Way
Suite 1210
Anderson, SC 29621-7915
Phone (864) 512-4160

Other identifiers 1

IdentifierTypeStateIssuer
N90824MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20141112001400 SC Practitioner - Nurse Practitioner 7012139751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1888SCMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Aug 18, 2014 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Aug 18, 2014 Accepting new patients

Locations

100 Healthy Way
Ste 1210
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Ste 1600
Anderson, SC 29621
Phone (803) 226-9193

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

100 Healthy Way
#1210
Anderson, SC 29621

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: dburroughs8116@direct.anmedhealth.net

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1831213545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1210",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-512-4160",
            "fax_number": "864-512-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1210",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-512-4160",
            "fax_number": "864-512-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "DONNA",
        "middle_name": "D",
        "credential": "APRN, CDE, CWCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "SC",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N90824",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.