Individual provider Active NPI

Darene A Burnam, NP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1386662450
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60507003 Issued in WA
Practice address
316 W Boone Ave
Suite 757
Spokane, WA 99201-2354
Phone
(509) 868-0876
Fax
(509) 385-0670
NPI assigned
Jul 17, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11372 CA
Nurse Practitioner 363L00000X AP60507003 WA Primary

Addresses

Primary practice location

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354

Mailing address

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354
Phone (509) 868-0876

Other identifiers 1

IdentifierTypeStateIssuer
95-4372419OtherGROUP TAX ID

Other names 1

  • Dr. Darene A. Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11372CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Nurse Practitioner Current Accepting new patients
Inpatient Consultants of California, Inc. CurrentSince Jan 23, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Jun 14, 2016 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Jun 14, 2016 Accepting new patients
Inpatient Consultants of California, Inc Nurse Practitioner CurrentSince Jan 23, 2017 Accepting new patients

Locations

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

4430 Talbot Rd S
Renton, WA 98055
Phone (425) 226-7500

80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1386662450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNAM",
        "first_name": "DARENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11372",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60507003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "95-4372419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARENE",
            "last_name": "HALL",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.