Kelli Burgad, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

6108360 Issued in WA

Practice address

2621 NE 134TH St Ste 140
Vancouver, WA 98686-3036

Phone

(360) 504-0122

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1740005347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NW 113TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853758",
            "telephone_number": "503-572-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 NE 134TH ST STE 140",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863036",
            "telephone_number": "360-504-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGAD",
        "first_name": "KELLI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "6108360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Dean Burbank, D.C.
• Claire Marion Lucille Burch
• Rachel Burch
• Melissa L.R. Burchett, CPNP
• Jacob Burciaga, PHARM.D.
• Charles Burgamy Jr.
• Makayla Burger
• David Burgers
• Finneas Omen Burgess, LMT
• Alisa Burggrabe-Brossia, LMP

• Licensed Practical Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.