Individual provider Active NPI

Laura Helen Burnett, PSY.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1487772364
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202001251NP-PP Issued in OR
Practice address
1132 SW 13TH Ave
Portland, OR 97205-1703
Phone
(971) 419-6612
NPI assigned
Mar 27, 2007
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202001251NP-PP OR Primary

Addresses

Primary practice location

1132 SW 13TH Ave
Portland, OR 97205-1703

Mailing address

13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074
Phone (971) 300-0654

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
I20250822003974 OR Practitioner - Nurse Practitioner 0749427581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outside inGroup PAC ID 9638256662, 12 clinicians

Practice addresses (Care Compare)

1132 SW 13TH Ave
Portland, OR 97205-1703
Phone (503) 535-3860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202001251NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Outside in CurrentSince May 29, 2025 Accepting new patients
Outside in Current Accepting new patients
Robert Olsen MD LLC CurrentSince Jun 1, 2022 Accepting new patients
Outside in CurrentSince May 29, 2025 Accepting new patients
Outside in Past Accepting new patients

Locations

1132 SW 13th Ave
Portland, OR 97205
Phone (503) 535-3800

1195 SW 11th Ave
Portland, OR 97205
Phone (503) 535-3800

13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1487772364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13535 SW 72ND AVE STE 170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238074",
            "telephone_number": "971-300-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051703",
            "telephone_number": "971-419-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "LAURA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "PSY.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202001251NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.