Active NPI
Nancy M Burgess RN MSN Anp-C PC
- Primary Care Nurse Practitioner
- Madras, OR
National Provider Identifier
1184054546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy Marie Burgess, ANP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Medford, OR
- NPI 1245308832
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.