CAROL S. BURNS


Address: 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128
Phone: 2604322297

CAROL S. BURNS (NPI# 1770535999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770535999
Entity Type Individual
Full Name CAROL S. BURNS
Credential NP
Practice Address 7900 W Jefferson Blvd
Suite 201
Fort Wayne
IN 46804-4128
Mailing Address 6920 Pointe Inverness Way Ste 200
Medpartners, Attn: Barb Copeland
Fort Wayne
IN 46804-7934
Practice Telephone 2604322297
Practice Fax Number 2609697266
Mailing Telephone 2604793514
Mailing Fax Number 2604793520
Enumeration Date 2006-05-16
Last Update Date 2016-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71000477A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200297040 05

Other Providers CAROL BURNS

NPI Name Taxonomy Address Enumeration
1518191568 Carol Elaine Burns Registered Nurse 128 Bellaire Ave, #103, Dayton, OH 45420-1765 2009-05-05
1417080086 Carol Carruth Burns Anesthesiology 1935 Medical District Dr, Dallas, TX 75235-7701 2007-03-13
1477643252 Carol A Burns Nurse Practitioner 253 Witherspoon St, Princeton, NJ 08540-3211 2006-10-13
1306954359 Carol Marie Burns Clinical Nurse Specialist 171 Ashley Ave, Charleston, SC 29425-0001 2006-08-29

Office Location

Street Address 7900 W JEFFERSON BLVD
SUITE 201
City FORT WAYNE
State IN
Zip Code 46804-4128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497744437 Valerie D. Stogdill Physician Assistant 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 2005-10-20
1922556752 Carole E. Slater Registered Nurse 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 2016-09-21
1144694464 Kendall S. Ray Dietitian, Registered 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 2015-11-24
1548529084 Beverly L. Mauger Nurse Practitioner 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 2012-05-03
1679857502 Sara J Nevil Nurse Practitioner 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 2011-10-11
1043592033 Kelly A Anderson Nurse Practitioner 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 2011-09-15
1336460161 Charles Lee Copeland Physician Assistant 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 2010-06-16
1679805048 Michelle Ann Parra Nurse Practitioner 7900 W Jefferson Blvd, Ste 304, Fort Wayne, IN 46804-4128 2010-02-09
1861624587 Benjamin P Merchant Physical Therapist 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 2009-08-13
1134358005 Justin D. Brown Nurse Practitioner 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 2009-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548626229 Tina Duncan Nurse Practitioner 6732 Covington Creek Trl, Fort Wayne, IN 46804-2870 2016-01-11
1538486691 Rounding Providers Nurse Practitioner 14411 Smugglers Notch, Fort Wayne, IN 46814-8701 2010-04-29
1245428366 Damon Greven Nurse Practitioner 2512 E Dupont Rd Ste 100, Fort Wayne, IN 46825-1609 2007-10-15
1467658740 Kimberly E Recht Nurse Practitioner 11108 Parkview Circle, Suite 5100, Fort Wayne, IN 46845 2007-06-25
1083827539 Ruth Elaine Wartell Nurse Practitioner 8107 Tranquilla Pl, Fort Wayne, IN 46815-5781 2007-05-08
1285756874 Timothy John Murphy Nurse Practitioner 3617 Rockwood Dr, Fort Wayne, IN 46815-6144 2007-04-04
1962490839 Peggy A Ryan Nurse Practitioner 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 2005-10-13
1265095897 Ashley Kamea Lynn Brown Nurse Practitioner 6326 Constitution Dr, Fort Wayne, IN 46804-1518 2019-04-18
1104398833 Jessica Marie Bolton Nurse Practitioner 3512 Stellhorn Rd, Fort Wayne, IN 46815 2018-12-19
1750868568 Shannon E Sitgreaves Nurse Practitioner 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 2018-07-24
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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