Active NPI
Tanya Renee Burns, WHNP
- Women's Health Nurse Practitioner
- Ft Irwin, CA
National Provider Identifier
1558465740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 687317
- Practice address
- 4TH & Inner Loop
Ft Irwin, CA 92310 - Phone
- (760) 380-5388
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 687317 | CA | Primary |
Addresses
Primary practice location
4TH & Inner Loop
Ft Irwin, CA 92310
Mailing address
8318A Shiloh St
Fort Irwin, CA 92310-2421
Phone (760) 386-8122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687317 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558465740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8318A SHILOH ST",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "923102421",
"telephone_number": "760-386-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4TH & INNER LOOP",
"city": "FT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-380-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "TANYA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "687317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.