Organization Active NPI

Nancy M Burgess RN MSN Anp-C PC

  • Primary Care Nurse Practitioner
  • Madras, OR
National Provider Identifier
1184054546
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
NANCY M BURGESS RN MSN ANP-C PC
Practice address
910 SW Highway 97 Ste 104
Madras, OR 97741-9247
Phone
(541) 504-7781
NPI assigned
Nov 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Ms. Nancy Marie Burgess, ANP-CNPI 1245308832
Title
Nurse Practitioner
Phone
(541) 504-7781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

910 SW Highway 97 Ste 104
Madras, OR 97741-9247

Mailing address

910 SW Highway 97 Ste 104
Madras, OR 97741-9247
Phone (541) 504-7781

National Provider Directory

National Provider Directory

Locations

850 SW 4th St
Ste 104
Madras, OR 97741
Phone (541) 475-1193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1184054546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SW HIGHWAY 97 STE 104",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419247",
            "telephone_number": "541-504-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW HIGHWAY 97 STE 104",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419247",
            "telephone_number": "541-504-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M BURGESS RN MSN ANP-C PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-504-7781",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.