Kylie Noel Burton
Individual provider Active NPI Family Nurse Practitioner · Logansport, IN
NPI 1942984992 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1942984992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F06230070 (IN)
- Practice address
- 1201 Michigan Ave
Logansport, IN 46947-1580 - Phone
- (765) 244-7762
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816000592 | IN | Practitioner - Nurse Practitioner | 8628430139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06230070 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Logansport Hospital, Inc. | Current |
Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current |
Accepting new patients |
Locations
1201 Michigan Ave
Ste 330
Logansport, IN 46947
Phone (574) 753-4151
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
3400 E Market St
Logansport, IN 46947
Phone (574) 722-9633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06230070 | IN | Yes |
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
Other providers in Logansport, IN
- Michelle Lynn Bryan
- Gaylynn Fay Burke
- Peter B. Burns
- Courtney Allison Burton
- Joellen Burton
- Vicki Lynn Burton
- Rachel Ann Cain
- Makinsey Calisto
- Bryce Call
- James Camp
All providers in Logansport, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.