Individual provider Active NPI

Emily Burd, PNP

  • Pediatric Nurse Practitioner
  • Gresham, OR
National Provider Identifier
1386136463
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
201807620 Issued in OR
Practice address
25050 SE Stark St Ste 300
Gresham, OR 97030-3388
Phone
(503) 667-8878
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 201807620 OR Primary

Addresses

Primary practice location

25050 SE Stark St Ste 300
Gresham, OR 97030-3388

Mailing address

25050 SE Stark St Ste 300
Gresham, OR 97030-3388
Phone (503) 667-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118002835 OR Practitioner - Nurse Practitioner 1052743713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201807620ORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Pediatric Clinic LLC CurrentSince Dec 2, 2019 Accepting new patients
Metropolitan Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

6125 NE Cornell Rd
Ste 240
Hillsboro, OR 97124
Phone (503) 640-2757

445 E Main St
Hillsboro, OR 97123
Phone (503) 640-2757

610 High St
Oregon City, OR 97045
Phone (503) 263-8903

Interoperability endpoints

  • Direct secure messaging: eburd326005@direct.lhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1386136463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303388",
            "telephone_number": "503-667-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303388",
            "telephone_number": "503-667-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURD",
        "first_name": "EMILY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201807620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.