Active NPI
Mary Louise Burr, ANP
- Nurse Practitioner
- Mountain Home, AR
National Provider Identifier
1851484992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AO1859
- Practice address
- 105 Spring Park Dr
Mountain Home, AR 72653-2386 - Phone
- (870) 424-0053
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A001859 | AR | |
| Nurse Practitioner | 363L00000X | AO1859 | AR | Primary |
Addresses
Primary practice location
105 Spring Park Dr
Mountain Home, AR 72653-2386
Mailing address
105 Spring Park Dr
Mountain Home, AR 72653-2386
Phone (870) 424-0053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851484992 | Medicaid | AR | |
| 171117758 | Medicaid | AR |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A001859 | AR | MD | Family Medicine Physician |
| AO1859 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1851484992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SPRING PARK DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532386",
"telephone_number": "870-424-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SPRING PARK DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532386",
"telephone_number": "870-424-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURR",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "A001859",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "AO1859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851484992",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171117758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.