Individual provider Active NPI

Donna Green Burgmayer, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1902046568
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP010107 Issued in PA
Practice address
1 Penn Boulevard
Suite 3026
Philadelphia, PA 19444-1476
Phone
(215) 849-7700
Fax
(215) 849-7631
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP010107 PA Primary

Addresses

Primary practice location

1 Penn Boulevard
Suite 3026
Philadelphia, PA 19444-1476

Mailing address

1 Penn Boulevard
Suite 3026
Philadelphia, PA 19444-1476
Phone (215) 849-7700

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred Stillman - Home Visit Doctors Past Accepting new patients
Mobile Wound Consultants Inc Past Accepting new patients
Mobile Wound Consultants II Inc. Past Accepting new patients

Organizations & group practices 3

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1902046568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PENN BOULEVARD",
            "address_2": "SUITE 3026",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "194441476",
            "telephone_number": "215-849-7700",
            "fax_number": "215-849-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN BOULEVARD",
            "address_2": "SUITE 3026",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "194441476",
            "telephone_number": "215-849-7700",
            "fax_number": "215-849-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGMAYER",
        "first_name": "DONNA",
        "middle_name": "GREEN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.