Active NPI
Lisa A Burk, APRN
- Adult Health Nurse Practitioner
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26162
- Practice address
- 1501 9TH Ave
Conway, SC 29526-4107 - Phone
- (843) 248-0104
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 6279 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 26162 | SC | Primary |
Addresses
Primary practice location
1501 9TH Ave
Conway, SC 29526-4107
Mailing address
1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26162 | SC | MD | Hospitalist Physician |
| 6279 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Health Care of CT, LLC | Adult Health | Current | Accepting new patients |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Falk Family Total Health, LLC | Current | Accepting new patients | |
| Falk Family Chiropractic Center P.C | Current | Accepting new patients | |
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050
300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200
209 Main St
Southington, CT 06489
Phone (860) 329-0401
444 Wolcott Rd
Wolcott, CT 06716
Phone (203) 879-4695
1501 9th Ave
Conway, SC 29526
Phone (843) 248-0104
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Conway, SC
- NPI 1780236638
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Critical Care Medicine (Internal Medicine) Physician
- Wolcott, CT
- NPI 1366981128
Adult Health
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Myrtle Beach, SC
- NPI 1033531850
-
- Chiropractor
- Conway, SC
- NPI 1821043464
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
dba Starling Physicians PC
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1902275480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 9TH AVE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264107",
"telephone_number": "843-248-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 9TH AVE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264107",
"telephone_number": "843-248-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURK",
"first_name": "LISA",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "6279",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "26162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.