Individual provider Active NPI

Lavonne M Burrows, RN BC M-SCNS

  • Medical-Surgical Clinical Nurse Specialist
  • Branson, MO
National Provider Identifier
1942397310
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
076456 Issued in MO
Practice address
101 Skaggs Rd Ste 302
Branson, MO 65616-2062
Phone
(417) 334-8288
Fax
(417) 334-6966
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 076456 MO Primary

Addresses

Primary practice location

101 Skaggs Rd Ste 302
Branson, MO 65616-2062

Mailing address

5342 S Holland Ave
Springfield, MO 65810-2628
Phone (417) 894-6592

Other practice location 1

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

Other identifiers 5

IdentifierTypeStateIssuer
126510OtherMOBLUE CROSS BLUE SHIELD
1942397310MedicaidMO
569325OtherHEALTHLINK
000083045OtherMOMEDICARE PTAN
500024671OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100615000079 MO Practitioner - Certified Clinical Nurse Specialist (CNS) 0143350306 Reassigns benefits to 1 organization
I20170714002354 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 0143350306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Branson Nephrology LLCGroup PAC ID 0840250585, 6 clinicians

Practice addresses (Care Compare)

101 Skaggs Rd
Suite 302
Branson, MO 65616-2062
Phone (417) 334-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
076456MOMDMedical-Surgical Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Dialysis LLC PastSince May 28, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lavonne.burrows@bransonkidney.directbygreenway.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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1942397310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 S HOLLAND AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102628",
            "telephone_number": "417-894-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SKAGGS RD STE 302",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162062",
            "telephone_number": "417-334-8288",
            "fax_number": "417-334-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 E Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042203",
            "country_code": "US",
            "telephone_number": "417-820-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "LAVONNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN BC M-SCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "MO",
            "license": "076456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126510",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942397310",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "569325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000083045",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500024671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.