Individual provider Active NPI

Courtney Burleson, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1851066617
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29993 Issued in TN
Practice address
310 N State of Franklin Rd Ste 400
Johnson City, TN 37604-6051
Phone
(423) 979-6000
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 29993 TN Primary

Addresses

Primary practice location

310 N State of Franklin Rd Ste 400
Johnson City, TN 37604-6051

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

208 Sunset Dr Ste 210
Johnson City, TN 37604-2547
Phone (423) 979-5819

Other practice location 2

2428 Knob Creek Rd Ste 201
Johnson City, TN 37604-2396
Phone (423) 282-5054

Other practice location 3

378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751

Other identifiers 1

IdentifierTypeStateIssuer
29993OtherTNLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210915001982 TN Practitioner - Nurse Practitioner 8527464692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Cardiology ServicesGroup PAC ID 5799970281, 137 clinicians

Practice addresses (Care Compare)

130 W Ravine Rd
Kingsport, TN 37660-3831
Phone (423) 244-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Cardiology Services Family CurrentSince Apr 18, 2022 Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients
Wellmont Medical Associates Inc Past Accepting new patients
Renuven Health Partners of Georgia PC PastSince Aug 1, 2021 Accepting new patients
Wellmont Medical Associates, Inc. PastSince Apr 18, 2022 Accepting new patients

Locations

310 N State of Franklin Rd
Ste 400
Johnson City, TN 37604
Phone (423) 929-7393

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

378 Marketplace Blvd
Ste 5
Johnson City, TN 37604
Phone (423) 282-0751

2428 Knob Creek Rd
Ste 201
Johnson City, TN 37604
Phone (423) 262-4400

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

2050 Meadowview Pkwy
Kingsport, TN 37660

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1851066617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD STE 400",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046051",
            "telephone_number": "423-979-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Sunset Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042547",
            "country_code": "US",
            "telephone_number": "423-979-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2428 Knob Creek Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042396",
            "country_code": "US",
            "telephone_number": "423-282-5054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "COURTNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "29993",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.