Healthcare Provider Details

I. General information

NPI: 1053263665
Provider Name (Legal Business Name): ANDREW REECE BURTON NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 VILLAGE DR
SEVIERVILLE TN
37862-5028
US

IV. Provider business mailing address

1110 VILLAGE DR
SEVIERVILLE TN
37862-5028
US

V. Phone/Fax

Practice location:
  • Phone: 865-429-8800
  • Fax:
Mailing address:
  • Phone: 865-429-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42352
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number267874
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: