Kimberly Ann Burnsed, A.R.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP3407582 Issued in FL

Practice address

100 North Main Street
Florida State Hospital
Chattahoochee, FL 32324-1000

Phone

(850) 663-7660

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By 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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of Children and FamiliesGroup PAC ID 5092613570, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Department of Children and Families

  dba Florida State Hospital-Unit 31

  • General Acute Care Hospital
  • Chattahoochee, FL
  • NPI 1710945118
  Medicare reassignment Care Compare group NPD
• Emerald Coast Memory Clinic, LLC

  • Psychiatry Physician
  • Miramar Beach, FL
  • NPI 1962911651
  Medicare reassignment NPD
• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD
• Florida Department of Children and Families

  dba Florida State Hospital

  • Psychiatric Hospital
  • Chattahoochee, FL
  • NPI 1578895470
  NPD

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1861776163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "850-663-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH MAIN STREET",
            "address_2": "FLORIDA STATE HOSPITAL",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "850-663-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSED",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP3407582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Bell
• Majeeda L Bouie
• Bread &Butter Homemaker and Companion Services LLC
• Tiffany Elisabeth Brown, APRN
• Tina Rena Brown
• Trina L Christner-Renfroe, PSY.D.
• Lindsey Cooke, LMHC
• Stacey Copeland, LMT
• Dresa Delane Craven, MSW, LCSW, CPM
• Jessica Crawford

• Psychiatric/Mental Health Nurse Practitioner in Chattahoochee, FL
• Providers in Chattahoochee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.