Lisa C Burns, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

101171 Issued in MO

Practice address

16555 Manchester Rd
Suite 100
Wildwood, MO 63040-1220

Phone

(636) 458-0646

NPI assigned

Feb 13, 2006

Last updated

Aug 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: lburns1156@directc.mercy.net

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1902870561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16555 MANCHESTER RD",
            "address_2": "SUITE 100",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401220",
            "telephone_number": "636-458-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 MANCHESTER RD",
            "address_2": "SUITE 100",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401220",
            "telephone_number": "636-458-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "101171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080125644",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902870561",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Lee Brocato
• Avia Brown, LCSW
• Kimberly E Brown, O.D.
• Dean Bryan
• Nicole Rae Buesse, MA, LPC
• Taylor Hamilton Bushnell, DPT
• Kathleen M Cabiedes, RN
• Bryan James Cannon, MD
• Cardiovascular Institute of Jacksonville P a (Cardiojax)
• Caretenders Visiting Services of St. Louis, LLC

• Family Medicine Physician in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.