Active NPI
Kristen Denise Burnham
- Registered Nurse
- East Hartford, CT
National Provider Identifier
1013469394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 093001
- Practice address
- 265 Ellington Rd
East Hartford, CT 06108-1176 - Phone
- (860) 528-1359
- NPI assigned
- Nov 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 093001 | CT | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 093001 | CT |
Addresses
Primary practice location
265 Ellington Rd
East Hartford, CT 06108-1176
Mailing address
265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 528-1359
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093001 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1013469394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 ELLINGTON RD",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081176",
"telephone_number": "860-528-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 ELLINGTON RD",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081176",
"telephone_number": "860-528-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "KRISTEN",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "093001",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CT",
"license": "093001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.