Active NPI
Lavonne M Burrows, RN BC M-SCNS
- Medical-Surgical Clinical Nurse Specialist
- Branson, MO
National Provider Identifier
1942397310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 076456
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126510 | Other | MO | BLUE CROSS BLUE SHIELD |
| 1942397310 | Medicaid | MO | |
| 569325 | Other | HEALTHLINK | |
| 000083045 | Other | MO | MEDICARE PTAN |
| 500024671 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 076456 | MO | MD | Medical-Surgical Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Dialysis LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Harrison, AR
- NPI 1659522076
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.