Individual provider Active NPI

Carrie Lynn Burden, MS, CNS, LDN

  • Nutrition Education Nutritionist
  • Ambler, PA
National Provider Identifier
1891378501
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
DN007281 Issued in PA
Practice address
300 Brookside Ave Ste 180
Ambler, PA 19002-3436
Phone
(484) 416-4189
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DN007281 PA Primary

Addresses

Primary practice location

300 Brookside Ave Ste 180
Ambler, PA 19002-3436

Mailing address

1419 Newman Rd
Pennsburg, PA 18073-1925
Phone (267) 328-7642

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
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DN007281PAMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Chiu, PH.D., PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

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

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1891378501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 NEWMAN RD",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731925",
            "telephone_number": "267-328-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 180",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "484-416-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PA",
            "license": "DN007281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.