Active NPI
Lindsay Burris, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0036833
- Practice address
- 8120 Garnet Dr
Dayton, OH 45458-2141 - Phone
- (833) 510-4357
- Fax
- (866) 460-2997
- NPI assigned
- Feb 14, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.439083 | OH | |
| Psychiatry Physician | 2084P0800X | 272666 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0036833 | OH | Primary |
Addresses
Primary practice location
8120 Garnet Dr
Dayton, OH 45458-2141
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other practice location 1
14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Phone (937) 869-4042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.439083 | OH | MD | Registered Nurse |
| 272666 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Psychiatry | Current | Accepting new patients |
| Brightview LLC | Current | Accepting new patients | |
| Brightview, LLC | Current | Accepting new patients |
Locations
4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269
6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000
8120 Garnet Dr
Dayton, OH 45458
Phone (937) 291-2511
5123 Norwich St
Ste 230
Hilliard, OH 43026
Phone (614) 529-8200
5123 Norwich St
Ste 110
Hilliard, OH 43026
Phone (614) 849-8204
Interoperability endpoints
- lifestancehealth.lindsayburris@140098.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1659769446
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
-
- Addiction Medicine (Internal Medicine) Physician
- Asheboro, NC
- NPI 1962163782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1932964467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 GARNET DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582141",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
}
],
"practiceLocations": [
{
"address_1": "14441 W McDowell Rd Ste B102",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952519",
"country_code": "US",
"telephone_number": "937-869-4042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURRIS",
"first_name": "LINDSAY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.439083",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "272666",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0036833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.