JAMEY L BURRIS-FISH NP-PP PSYCHIATRIC/MH NPI 1861488868

NPI Information

NPI: 1861488868
Provider Name: JAMEY L BURRIS-FISH, NP-PP PSYCHIATRIC/MH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2158 EXCHANGE ST STE 304
ASTORIA, OR
ZIP 97103
Phone: (503) 325-8315
Get Directions

Jamey L Burris-fish, NP-PP PSYCHIATRIC/MH is a psychiatric/mental health nurse practitioner in Astoria, OR with 28 years of experience. Jamey L Burris-fish, NP-PP PSYCHIATRIC/MH NPI is 1861488868. 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:

2158 EXCHANGE ST STE 304
ASTORIA, OR
ZIP 97103-307
Phone: (503) 325-8315
Fax: (503) 325-8602

The NPI 1861488868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2005 and was last updated on 9/19/2023.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN00159464	WASHINGTON	No
2	363L00000X	Nurse Practitioner		200750042NP	OREGON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP30007010	WASHINGTON	No
4	363LP2300X	Nurse Practitioner	Primary Care	200750042NP	OREGON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200750042NP	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	9645276	MEDICAID	WASHINGTON
2	500699961	MEDICAID	OREGON
3	8906041	OTHER	WASHINGTON	CRIME VICTIMS

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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