Individual provider Active NPI

Marsha Kay Burgess, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1891746699
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-063536 Issued in AL
Practice address
2090 Culumbiana Road
Sutie 4000
Birmingham, AL 35216-2158
Phone
(205) 552-1727
Fax
(205) 536-8404
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-063536 AL Primary
Nurse Practitioner 363L00000X 201502950NP-PP OR
Nurse Practitioner 363L00000X RN235096 GA
Nurse Practitioner 363L00000X COA.17214-NP OH
Nurse Practitioner 363L00000X H136507 IA
Nurse Practitioner 363L00000X ARNP9380741 FL
Nurse Practitioner 363L00000X 024171680 VA
Nurse Practitioner 363L00000X AP126579 TX
Nurse Practitioner 363L00000X APRN001804 NV
Nurse Practitioner 363L00000X CNP-02516 NM
Nurse Practitioner 363L00000X NP95001660 CA
Nurse Practitioner 363L00000X CNPRN229764 MA

Addresses

Primary practice location

2090 Culumbiana Road
Sutie 4000
Birmingham, AL 35216-2158

Mailing address

2090 Columbiana Road
Suite 4000
Birmingham, AL 35216-2158
Phone (205) 552-1727

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

LicenseStateTypeSpecialty
1-063536ALMDNurse Practitioner
NP95001660CAMDNurse Practitioner
ARNP9380741FLMDNurse Practitioner
RN235096GAMDNurse Practitioner
H136507IAMDNurse Practitioner
CNPRN229764MAMDNurse Practitioner
CNP-02516NMMDNurse Practitioner
APRN001804NVMDNurse Practitioner
COA.17214-NPOHMDNurse Practitioner
201502950NP-PPORMDNurse Practitioner
AP126579TXMDNurse Practitioner
024171680VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Vida Health Clinic PC PastSince Jul 28, 2017 Accepting new patients
Robert W Nesbitt MD PC PastSince Aug 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15689/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1891746699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 COLUMBIANA ROAD",
            "address_2": "SUITE 4000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162158",
            "telephone_number": "205-552-1727",
            "fax_number": "205-536-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 CULUMBIANA ROAD",
            "address_2": "SUTIE 4000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162158",
            "telephone_number": "205-552-1727",
            "fax_number": "205-536-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MARSHA",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-063536",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201502950NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235096",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.17214-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H136507",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9380741",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "024171680",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126579",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001804",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-02516",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95001660",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "CNPRN229764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.