Taylor N Burton, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Palmer, AK
NPI 1619699170 · NPPES record last updated Mar 8, 2023
Key facts
- NPI
- 1619699170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 204984 (AK)
- Practice address
- 634 S Bailey St
Palmer, AK 99645-6360 - Phone
- (907) 376-9091
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137304 | AK | MD | Psychiatric/Mental Health Registered Nurse |
| 204984 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playful Journeys, Inc. | Past |
Accepting new patients | |
| Playful Journeys, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 137304 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 204984 | AK | Yes |
Addresses
Primary practice location
634 S Bailey St
Palmer, AK 99645-6360
Mailing address
634 S Bailey St
Palmer, AK 99645-6360
Phone (907) 376-9091
Other providers in Palmer, AK
- Spencer Howell Burgess
- Heidi Burns
- Mackenzie Burt
- Monte L Burtch
- Lora Ann Burton
- Elizabeth Butler
- Melissa Bybee
- Jennifer Byers
- Ivy Caldwell
- Katlyn Cameron
All providers in Palmer, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.