Individual provider Active NPI

Kayla Wren Burns, PHARM.D.

  • Ambulatory Care Pharmacist
  • Hart, MI
National Provider Identifier
1760869028
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
5302039395 Issued in MI
Practice address
611 E Main St
Hart, MI 49420-1190
Phone
(231) 873-6922
Fax
(231) 873-1825
NPI assigned
May 6, 2015
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 5302039395 MI Primary
Pharmacist 183500000X 5302039395 MI

Addresses

Primary practice location

611 E Main St
Hart, MI 49420-1190

Mailing address

611 E Main St
Hart, MI 49420-1190
Phone (231) 873-6922

Other practice location 1

905 E Colby St
Whitehall, MI 49461-1262
Phone (231) 672-8050

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302039395MIMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1760869028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201190",
            "telephone_number": "231-873-6922",
            "fax_number": "231-873-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201190",
            "telephone_number": "231-873-6922",
            "fax_number": "231-873-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 E Colby St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "MI",
            "postal_code": "494611262",
            "country_code": "US",
            "telephone_number": "231-672-8050",
            "fax_number": "231-728-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KAYLA",
        "middle_name": "WREN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302039395",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hart, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.