Active NPI
Cheryl Lane Burlingame, RN, MN, CNS
- Adult Psychiatric/Mental Health Registered Nurse
- Thousand Oaks, CA
National Provider Identifier
1760783443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 306470
- Practice address
- 72 Moody CT
Suite 101
Thousand Oaks, CA 91360-6067 - Phone
- (805) 777-3500
- NPI assigned
- Nov 10, 2010
- Last updated
- Nov 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P302 | CA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 306470 | CA | Primary |
Addresses
Primary practice location
72 Moody CT
Suite 101
Thousand Oaks, CA 91360-6067
Mailing address
72 Moody CT
Suite 101
Thousand Oaks, CA 91360-6067
Phone (805) 777-3500
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
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P302 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1760783443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 MOODY CT",
"address_2": "SUITE 101",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913606067",
"telephone_number": "805-777-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MOODY CT",
"address_2": "SUITE 101",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913606067",
"telephone_number": "805-777-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLINGAME",
"first_name": "CHERYL",
"middle_name": "LANE",
"name_prefix": "Mrs.",
"credential": "RN, MN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "P302",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "306470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.