Individual provider Active NPI

Lindsay Jeneane Burgner, ARNP

  • Family Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1811650088
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP612121985 Issued in WA
Practice address
5707 Lacey Blvd SE
Lacey, WA 98503-7228
Phone
(360) 890-6452
NPI assigned
Oct 14, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP612121985 WA Primary

Addresses

Primary practice location

5707 Lacey Blvd SE
Lacey, WA 98503-7228

Mailing address

5707 Lacey Blvd SE
Lacey, WA 98503-7228
Phone (360) 628-8855

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

LicenseStateTypeSpecialty
AP612121985WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1811650088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037228",
            "telephone_number": "360-628-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037228",
            "telephone_number": "360-890-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGNER",
        "first_name": "LINDSAY",
        "middle_name": "JENEANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP612121985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.