Nicole R Burns, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

172830 Issued in CO

Practice address

212 E Kiowa Ave Ste 7
Fort Morgan, CO 80701-3135

Phone

(970) 380-9064

NPI assigned

Jun 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole R Maly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unbound Courage Inc.

  • Community/Behavioral Health Agency
  • Fort Morgan, CO
  • NPI 1912891219
  NPD Authorized official

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1366336661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COTTON ST # 80701",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013940",
            "telephone_number": "970-380-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E KIOWA AVE STE 7",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013135",
            "telephone_number": "970-380-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "172830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MALY",
            "middle_name": "R",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce O Marron DDS PC
• Brush Family Medicine
• Brush Family Medicine
• Thomas L Bryant, MD
• Monica Paige Buettel, PH.D.
• Audrina Busch, RDH
• Eric Califf
• Andrea Cantarero, RDN
• Trevin J Cardon, DO
• Charlene Carrera

• Registered Nurse in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.