Courtney Vance Burgin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25994 Issued in TN

Practice address

1829 Crowe LN
Newport, TN 37821-7264

Phone

(423) 623-0653

Fax

(423) 625-8264

NPI assigned

Jun 25, 2019

Last updated

Sep 21, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.burgin.1@4694.direct.athenahealth.com

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.

• Newport Pediatrics, P.C.

  • Pediatrics Physician
  • Newport, TN
  • NPI 1467678706
  Medicare reassignment NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1912568494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CRYSTAL WAY",
            "city": "DEL RIO",
            "state": "TN",
            "postal_code": "377272757",
            "telephone_number": "828-467-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 CROWE LN",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217264",
            "telephone_number": "423-623-0653",
            "fax_number": "423-625-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "COURTNEY",
        "middle_name": "VANCE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.burgin.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "434 4th St Ste 305",
            "city": "Newport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378213735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristi Dale Bradshaw, FNP
• Heather Nicole Browder, LCSW
• Rachel Brown, LCSW
• Jennifer Layman Buckner, PTA
• Nancy Mae Buckner, RN
• Regina Byrd
• Alexis Cheyenne Caldwell
• Candace Leia Campbell, RN
• Laura Campos
• Donna Marie Canale, LPC NCC

• Family Nurse Practitioner in Newport, TN
• Providers in Newport, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.