MRS. LISA MARIE BURTON PHDCARNP PMHCNS NPI 1073594479

NPI Information

NPI: 1073594479
Provider Name: MRS. LISA MARIE BURTON, PHDC,ARNP, PMHCNS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT LLC

PECOS Registration: Yes

Address:
14707 S DIXIE HWY
PH403
MIAMI, FL
ZIP 33176
Phone: (305) 256-7336
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MRS. Lisa Marie Burton, PHDC,ARNP, PMHCNS is a psychiatric/mental health nurse practitioner in Miami, FL with 31 years of experience. MRS. Lisa Marie Burton, PHDC,ARNP, PMHCNS NPI is 1073594479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14707 S DIXIE HWY
PH403
MIAMI, FL
ZIP 33176-948
Phone: (305) 256-7336
Fax: (305) 256-7306

The NPI 1073594479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 12/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN1986612	FLORIDA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	006971	CONNECTICUT	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	1986612	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	742000000	OTHER	FLORIDA	MAGELLAN BEHAVIORAL HEALT
2	306453101	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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