Individual provider Active NPI

Ana Roselia Santos Burks

  • Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1902456593
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012241 Issued in NC
Practice address
2929 Breezewood Ave Ste 201
Fayetteville, NC 28303-5357
Phone
(910) 310-4424
Fax
(877) 249-8311
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012241 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5012241 NC

Addresses

Primary practice location

2929 Breezewood Ave Ste 201
Fayetteville, NC 28303-5357

Mailing address

2929 Breezewood Ave Ste 201
Fayetteville, NC 28303-5357
Phone (910) 310-4424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191218001399 NC Practitioner - Nurse Practitioner 2264866607 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012241NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zendrips & Wellness, PLLC Adult Health Current Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Cumberland Cardiology, P.a. CurrentSince Sep 21, 2019 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

3505 Village Dr
Fayetteville, NC 28304
Phone (910) 323-0065

2929 Breezewood Ave
Ste 201
Fayetteville, NC 28303
Phone (910) 635-8076

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1902456593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 BREEZEWOOD AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035357",
            "telephone_number": "910-310-4424",
            "fax_number": "877-249-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 BREEZEWOOD AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035357",
            "telephone_number": "910-310-4424",
            "fax_number": "877-249-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS BURKS",
        "first_name": "ANA",
        "middle_name": "ROSELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012241",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5012241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.