Individual provider Active NPI

Lisa Ann Burr, RN

  • Registered Nurse
  • Peabody, MA
National Provider Identifier
1992381966
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2283693 Issued in MA
Practice address
172 Newbury St
Peabody, MA 01960-2405
Phone
(978) 818-8592
Fax
(978) 535-9093
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2283693 MA Primary

Addresses

Primary practice location

172 Newbury St
Peabody, MA 01960-2405

Mailing address

172 Newbury St
Peabody, MA 01960-2405
Phone (978) 818-8592

Other names 1

  • Lisa Ann Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2283693MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Mar 28, 2021 Accepting new patients
Community Physicians PC PastSince Mar 28, 2021 Accepting new patients

Locations

172 Newbury St
Peabody, MA 01960
Phone (978) 535-9190

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1992381966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 NEWBURY ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602405",
            "telephone_number": "978-818-8592",
            "fax_number": "978-535-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 NEWBURY ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602405",
            "telephone_number": "978-818-8592",
            "fax_number": "978-535-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2283693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "THOMPSON",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.