Individual provider Active NPI

Audrey Burgdorfer, RN

  • College Health Registered Nurse
  • Santa Clarita, CA
National Provider Identifier
1265844351
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
568509 Issued in CA
Practice address
26455 Rockwell Canyon Rd
Santa Clarita, CA 91355-1803
Phone
(661) 362-3259
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 568509 CA Primary

Addresses

Primary practice location

26455 Rockwell Canyon Rd
Santa Clarita, CA 91355-1803

Mailing address

26455 Rockwell Canyon Rd
Santa Clarita, CA 91355-1803
Phone (661) 362-3259

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
568509CAMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1265844351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26455 ROCKWELL CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551803",
            "telephone_number": "661-362-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 ROCKWELL CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551803",
            "telephone_number": "661-362-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGDORFER",
        "first_name": "AUDREY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "568509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.