Provider Type Icon

CAROL ANN BURCKHARDT PMHNP NPI 1124076013


NPI Information

NPI: 1124076013
Provider Name: CAROL ANN BURCKHARDT, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
727 W BURNSIDE
PORTLAND, OR
ZIP 97209
Phone: (503) 228-4533
Get Directions

Carol Ann Burckhardt, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. Carol Ann Burckhardt, PMHNP NPI is 1124076013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

727 W BURNSIDE
PORTLAND, OR
ZIP 97209
Phone: (503) 228-4533

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health083040504N6OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.