MRS. AMY M BURTON (NPI# 1922122530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922122530 |
| Entity Type | Individual |
| Full Name | MRS. AMY M BURTON |
| Credential | APN |
| Practice Address |
600 Club Ln Conway AR 72034-3624 |
| Practice Telephone | 5013270110 |
| Practice Fax Number | 5013270141 |
| Mailing Telephone | 5013270110 |
| Mailing Fax Number | 5013270141 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A02981 ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE GROUP PTAN | 5G546 | 01 |
| AR | 185722758 | 05 | |
| AR | NPI | 1922122530 | 01 |
| AR | MEDICARE GROUP NPI | 1982721882 | 01 |
| AR | MEDICARE GROUP MEMBER PTAN | 5V713G546 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3025 Fountain Dr Ste 200, Conway, AR 720343684 | 5013270110 | 5013270141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346615754 | Amy Burton | Specialist/Technologist, Other | 28003 Lone Rock Ct, Fulshear, TX 77441-1596 | 2015-12-10 |
| 1700200391 | Amy Burton | Specialist/Technologist | 4569 N 153rd Ln, Goodyear, AZ 85395-6303 | 2014-02-18 |
| 1497964282 | Amy L Burton | Massage Therapist | 7604 Ne 5th Ave, #109, Vancouver, WA 98665-8200 | 2007-05-21 |
| 1154544054 | Amy M. Burton | Pediatrics | 6124 W Parker Rd Ste 230, Plano, TX 75093-8124 | 2007-04-10 |
| 1104873397 | Amy Lynne Burton | Specialist/Technologist | 1200 W Radio Ln, Athletic Training Room, Arkansas City, KS 67005-4001 | 2006-05-31 |
| 1336673524 | Amy Burton | Counselor | 10925 Antioch Rd, Overland Park, KS 66210-2146 | 2017-04-14 |
| 1730528126 | Amy J Burton | Community Health Worker | 280 Sweetwater Ln, Grayson, KY 41143-1748 | 2013-06-18 |
| 1699063677 | Amy Marie Burton | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2011-07-12 |
| 1881992949 | Amy Burton | Speech-Language Pathologist | 11630 Glen Arm Rd, Glen Arm, MD 21057-9403 | 2011-03-14 |
| 1902002603 | Amy Marie Burton | Marriage & Family Therapist | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2007-06-21 |
| Street Address |
600 CLUB LN |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747648 | William H. Freeman | Family Medicine | 600 Club Ln, Conway, AR 72034-3624 | 2005-06-01 |
| 1245559681 | Jeanne Michelle Churchill | Nurse Practitioner | 600 Club Ln, Conway, AR 72034-3624 | 2010-05-25 |
| 1629230396 | William Alexander Freeman | Family Medicine | 600 Club Ln, Conway, AR 72034-3624 | 2008-06-25 |
| 1982721882 | William H. Freeman, M.d., P.a. | Specialist | 600 Club Ln, Conway, AR 72034-3624 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
| 1538798087 | Glenda Darlene Gore | Nurse Practitioner | 17 Kali Ct, Conway, AR 72032-9477 | 2020-04-06 |
| 1265071427 | Dana Aysha Niederhauser | Nurse Practitioner | 1250 Littlewood Cv, Conway, AR 72032-8986 | 2020-01-04 |
| 1285287680 | Joy Griffith | Nurse Practitioner | 2907 Percy Cir, Conway, AR 72034-5508 | 2019-07-24 |
| 1366094260 | Kerry Kathryn Lewis | Nurse Practitioner | 1910 Royal Dr, Conway, AR 72034-7346 | 2019-07-10 |
| 1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
| 1780141069 | Ashleigh Lynn Kinon | Nurse Practitioner | 2065 Woodlawn Dr, Conway, SC 29526-7703 | 2019-02-22 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| Find all providers in CONWAY | ||||
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| 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.