Mark Burnham, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

372972 Issued in NM

Practice address

3500 Twin Peaks Blvd
Farmington, NM 87401-8515

Phone

(505) 599-8613

Fax

(877) 867-1749

NPI assigned

Aug 19, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1033664073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 TWIN PEAKS BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018515",
            "telephone_number": "505-599-8613",
            "fax_number": "877-867-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 TWIN PEAKS BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018515",
            "telephone_number": "505-599-8613",
            "fax_number": "877-867-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "MARK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-77826",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "372972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Lee Burgess, LISW
• Theron Reed Burk, DMD
• Jaime Eugena Burke, HIS
• Jennifer Rose Burke, CRNA
• Teija Yvette Burks, DPT
• Robert Joseph Burns, M.D.
• Susan L Burns, HIS
• Robert S Burnside, LISW
• James F Burpee, M.D.
• Valentina Elizabeth Burrola, MSW, LCSW

• School Registered Nurse in Farmington, NM
• Providers in Farmington, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.