Individual provider Active NPI

Patricia R Burt, ARNP

  • Pediatric Registered Nurse
  • Ormond Beach, FL
National Provider Identifier
1922287549
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
ARNP814492 Issued in FL
Practice address
1688 W Granada Blvd Ste 2B
Ormond Beach, FL 32174-1818
Phone
(386) 677-3530
Fax
(386) 673-1933
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X ARNP814492 FL Primary

Addresses

Primary practice location

1688 W Granada Blvd Ste 2B
Ormond Beach, FL 32174-1818

Mailing address

1688 W Granada Blvd Ste 2B
Ormond Beach, FL 32174-1818
Phone (386) 677-3530

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP814492FLMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Funcoast Pediatrics PA Past Accepting new patients

Organizations & group practices 1

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1922287549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 W GRANADA BLVD STE 2B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741818",
            "telephone_number": "386-677-3530",
            "fax_number": "386-673-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 W GRANADA BLVD STE 2B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741818",
            "telephone_number": "386-677-3530",
            "fax_number": "386-673-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "ARNP814492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.