Michael R Burns, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71001924A Issued in IN

Practice address

550 S Landmark Ave
Bloomington, IN 47403-3239

Phone

(812) 355-3405

Fax

(812) 355-6538

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: michael.burns@premier.ikm.direct-ci.com

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1851396642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LANDMARK AVE",
            "address_2": "PO BOX 550",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474030550",
            "telephone_number": "812-355-3405",
            "fax_number": "812-355-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033239",
            "telephone_number": "812-355-3405",
            "fax_number": "812-355-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001924A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200515100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Marie Burns-Orrego, MD
• Catherine Burns, BA
• Claudia A Burns, DPT
• Erik David Burns, ADICTIONS COUNSELOR
• Jordan Michael Burns, D.C.
• Amy Beth Burrell
• Cloey Burris, RBT
• Kaylee Burris, RBT
• Lester Burris II
• Tianna Rene Burroughs, LCSW

• Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.