Individual provider Active NPI

Amy Frances Burlison

  • Nurse's Aide
  • Talent, OR
National Provider Identifier
1851966618
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
220 W Rapp Rd Unit 76
Talent, OR 97540-8667
Phone
(541) 460-2835
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X Primary

Addresses

Primary practice location

220 W Rapp Rd Unit 76
Talent, OR 97540-8667

Mailing address

220 W Rapp Rd Unit 76
Talent, OR 97540-8667
Phone (541) 460-2835

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

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

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1851966618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W RAPP RD UNIT 76",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975408667",
            "telephone_number": "541-460-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W RAPP RD UNIT 76",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975408667",
            "telephone_number": "541-460-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "AMY",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "220 W Rapp Rd Unit 76",
            "city": "Talent",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975408667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Talent, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.