Carolyn Burnham, R.N.

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

633524 Issued in CA

Practice address

157 Brentwood Drive
Lake Arrowhead, CA 92352

Phone

(951) 852-8560

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By the provider in NPPES

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

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1366803140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "RIMFOREST",
            "state": "CA",
            "postal_code": "923780332",
            "telephone_number": "951-852-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BRENTWOOD DRIVE",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "951-852-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "CAROLYN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "CA",
            "license": "633524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Marion Black, LMT
• Terry Lynn Blasingame
• Blue Jay Recovery Inc
• Shellie Mundall Boydston, RDHAP
• Kieth J Burkart, O.D.
• Heather Rachelle Byrd, LMFT
• Ann Cassel Cairns, CRNA
• Daniel Peter Calabrese, M.D.
• David Bower Chamlee, P.T.
• Owena Elizabeth Chu, NP

• Neonatal Intensive Care Registered Nurse in Lake Arrowhead, CA
• Providers in Lake Arrowhead, CA by specialty
• Neonatal Intensive Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.