Shannon Christian Burt, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903161 Issued in MS

Practice address

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721

Phone

(662) 245-5270

Fax

(662) 351-9471

NPI assigned

Mar 22, 2019

Last updated

Jul 24, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH MSSP Services Ms LLCGroup PAC ID 7911441126, 16 clinicians

Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• CH MSSP Services Ms LLC

  • Internal Medicine Physician
  • Flowood, MS
  • NPI 1194565051
  Medicare reassignment Care Compare group NPD
• Wound Care Associates LLC

  dba MedCentris Specialty Group

  • Specialist
  • Hammond, LA
  • NPI 1568793750

  MS

  Medicare reassignment Care Compare group NPD
• Access Family Health Services, Inc.

  dba ACCESS Family Health - Smithville Clinic

  • Federally Qualified Health Center (FQHC)
  • Smithville, MS
  • NPI 1457453730
  Medicare reassignment NPD
• Curana Health of Mississippi LLC

  • Family Nurse Practitioner
  • Flowood, MS
  • NPI 1013395615
  Medicare reassignment NPD
• Access Family Health Services, Inc.

  • Community/Retail Pharmacy
  • Tremont, MS
  • NPI 1124618525
  NPD
• Access Family Health Services, Inc.

  dba Access School Health - Smithville

  • Federally Qualified Health Center (FQHC)
  • Smithville, MS
  • NPI 1972095065
  NPD

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1942760210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR STE 212",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716721",
            "telephone_number": "662-245-5270",
            "fax_number": "662-351-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "SHANNON",
        "middle_name": "CHRISTIAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08623823",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Bullard, AGNP-C
• Nathaniel Levi Bump, FNP-C
• Adam Wade Burch, PTA
• Tracy Ellis Burns, PMHNP
• Lexann Pate Bursi, RD, LDN
• Tara Elaine Burt, PT, DPT
• Misty Burton, FNP-C
• Kenneth Bradley Bush II, RPH
• Jahed Bushnaq, MD
• Dekimberly Butler, MSW, PCMHT

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
• 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.

Verify at the official NPI Registry.