Individual provider Active NPI

Cristie Ann Burnette, NP

  • Family Nurse Practitioner
  • Hillsville, VA
National Provider Identifier
1861053860
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178626 Issued in VA
Practice address
430 W Stuart Dr
Hillsville, VA 24343-1527
Phone
(276) 728-3332
Fax
(276) 728-3302
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178626 VA Primary
Family Nurse Practitioner 363LF0000X 5011911 NC

Addresses

Primary practice location

430 W Stuart Dr
Hillsville, VA 24343-1527

Mailing address

PO Box 1341
Hillsville, VA 24343-7341
Phone (276) 728-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200325002081 VA Practitioner - Nurse Practitioner 0749618700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 W Stuart Dr
Hillsville, VA 24343-1527
Phone (276) 728-3332

Hospital & facility affiliations

  • Blue Ridge Home Health Care Home health agency, Galax, VA, CCN 497643
  • Access Home Health Care and Rehabilitation Home health agency, Galax, VA, CCN 497713
  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011911NCMDFamily Nurse Practitioner
0024178626VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Grace Medical Center LLC CurrentSince Oct 1, 2020 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Mar 4, 2020 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Mar 4, 2020 Accepting new patients
St Marys Medical Center PLC CurrentSince Aug 9, 2020 Accepting new patients

Locations

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

430 W Stuart Dr
Hillsville, VA 24343
Phone (276) 728-3332

702 Pine St
Hillsville, VA 24343
Phone (276) 728-4311

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22367/brand/1/csg/1/fhir/r4

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 5

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1861053860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243437341",
            "telephone_number": "276-728-3332",
            "fax_number": "276-728-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W STUART DR",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431527",
            "telephone_number": "276-728-3332",
            "fax_number": "276-728-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "CRISTIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178626",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

Verify at the official NPI Registry.