Individual provider Active NPI

Annette Burden, APRN

  • Family Nurse Practitioner
  • Little Mountain, SC
National Provider Identifier
1891138970
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23248 Issued in SC
Practice address
99 N Mill St
Little Mountain, SC 29075-8788
Phone
(803) 945-1005
NPI assigned
Apr 9, 2013
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 23248 SC Primary

Addresses

Primary practice location

99 N Mill St
Little Mountain, SC 29075-8788

Mailing address

99 N Mill St
Little Mountain, SC 29075-8788
Phone (803) 945-1005

Other practice location 1

1829 Nance St
Newberry, SC 29108-2553
Phone (803) 321-2670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annette.burden.1@10781.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20200221001179 SC Practitioner - Nurse Practitioner 0345677811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 5 PCGroup PAC ID 8325372881, 7 clinicians

Practice addresses (Care Compare)

2306 Harrington St
Suite 1
Newberry, SC 29108-3088
Phone (803) 321-3035

2555 Kinard St
Newberry, SC 29108-2954
Phone (803) 276-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23248SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center Inc. CurrentSince Sep 16, 2019 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Current Accepting new patients
Newberry Family Health Center PA CurrentSince Feb 9, 2022 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Sep 16, 2019 Accepting new patients
Pai Participant 5 PC CurrentSince Sep 24, 2025 Accepting new patients

Locations

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

99 N Mill St
Little Mtn, SC 29075
Phone (803) 405-7555

2306 Harrington St
Ste 1
Newberry, SC 29108
Phone (803) 321-3035

2555 Kinard St
Newberry, SC 29108
Phone (803) 276-6060

1109 Wilson St
Newberry, SC 29108
Phone (803) 321-3035

Interoperability endpoints

  • Direct secure messaging: annette.burden.1@10781.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1891138970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N MILL ST",
            "city": "LITTLE MOUNTAIN",
            "state": "SC",
            "postal_code": "290758788",
            "telephone_number": "803-945-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N MILL ST",
            "city": "LITTLE MOUNTAIN",
            "state": "SC",
            "postal_code": "290758788",
            "telephone_number": "803-945-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 Nance St",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291082553",
            "country_code": "US",
            "telephone_number": "803-321-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "ANNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annette.burden.1@10781.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "99 N Mill St",
            "city": "Little Mountain",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290758788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Mountain, SC

Sources for this page

Verify at the official NPI Registry.