Individual provider Active NPI

Kylie Noel Burton

  • Family Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1942984992
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230070 Issued in IN
Practice address
1201 Michigan Ave
Logansport, IN 46947-1580
Phone
(765) 244-7762
NPI assigned
Jun 12, 2023
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06230070 IN Primary

Addresses

Primary practice location

1201 Michigan Ave
Logansport, IN 46947-1580

Mailing address

2420 W 600 N
Peru, IN 46970-8124
Phone (765) 244-7762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20230816000592 IN Practitioner - Nurse Practitioner 8628430139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06230070INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Logansport Hospital, Inc. CurrentSince Aug 30, 2023 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Aug 30, 2023 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1201 Michigan Ave
Ste 330
Logansport, IN 46947
Phone (574) 753-1778

3400 E Market St
Logansport, IN 46947
Phone (574) 722-9633

Interoperability endpoints

  • FHIR API: https://arrprd.mhhcc.org/OAuth2/api/FHIR/R4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1942984992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W 600 N",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469708124",
            "telephone_number": "765-244-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471580",
            "telephone_number": "765-244-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KYLIE",
        "middle_name": "NOEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F06230070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.