Joan Marie Burns, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22997 Issued in SC

Practice address

409 Evelyn Dr
Columbia, SC 29210-5212

Phone

(803) 216-0850

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: burns.joan.001.0400057@bbm.meditab.direct-ci.com

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.

• Deep Roots Therapy, LLC

  • Clinical Social Worker
  • Ware Shoals, SC
  • NPI 1114762051

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992367536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 RUTLAND CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063126",
            "telephone_number": "575-405-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EVELYN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105212",
            "telephone_number": "803-216-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "22997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "22997",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Burnette, APRN
• Mary Michele Burnette, PH. D.
• Nicolette D Burnette, LISW
• Nola Covington Burnette, LISW-CP
• Marjorie Arlene Burniston, MOT, OTR/L
• Kendra Burns
• Latoyla Burns
• Marie Feghali Burns, RPH.
• Mashanda Burns, CNA
• Mona Burns

• Psychiatric/Mental Health Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.