Carol Patrice Burnham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11006131 Issued in FL

Practice address

1834 SW 1St Ave Ste 201
Ocala, FL 34471-8102

Phone

(352) 732-9888

NPI assigned

Feb 21, 2020

Last updated

Feb 21, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Rivers Family Medicine PAGroup PAC ID 8224042106, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61486

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.

• Rivers Family Medicine PA

  • Family Medicine Physician
  • The Villages, FL
  • NPI 1821211335
  Medicare reassignment Care Compare group NPD
• Express Care of Belleview, LLC

  • Rural Health Clinic/Center
  • Belleview, FL
  • NPI 1952357519
  Medicare reassignment NPD
• Express Care of Belleview, LLC

  • General Practice Physician
  • Leesburg, FL
  • NPI 1831142389
  NPD

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1841823440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 SE 152ND LN",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914439",
            "telephone_number": "352-789-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718102",
            "telephone_number": "352-732-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "CAROL",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Gabrielle Burke, LCSW
• Judeen Dian Burke
• Sonya Burke
• Valen Marie Burke, LMT
• Ashton Burks, CRNA
• Burns Prchal MD (Cheryl Burns MD Lee Prchal MD)
• Amanda Michelle Burns, M.D.
• Jason Lane Burns, PH.D.
• Cheryl Burrall, MS
• Carol Burrell-Jackson, PH.D., MSW, LMSW

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.