LAURA JEAN BURNSIDE-MCELLIGOTT NPI 1477718419

NPI Information

NPI: 1477718419
Provider Name: LAURA JEAN BURNSIDE-MCELLIGOTT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1890 WAITE ST
STE 1
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-6232
Get Directions

Laura Jean Burnside-mcelligott is a family nurse practitioner in North Bend, OR. Laura Jean Burnside-mcelligott NPI is 1477718419. 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:

1890 WAITE ST
STE 1
NORTH BEND, OR
ZIP 97459-229
Phone: (541) 756-6232
Fax: (541) 756-6234

The enumeration date for this NPI number is 7/18/2008 and was last updated on 6/15/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		081046951RN	OREGON	No
2	363LF0000X	Nurse Practitioner	Family	200850064NP FNP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500617181	MEDICAID	OREGON
2	381902	MEDICARE OSCAR/CERTIFICATION
3	213342	MEDICAID	OREGON
4	R163722	OTHER		MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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