MARK BURNHAM (NPI# 1033664073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033664073 |
| Entity Type | Individual |
| Full Name | MARK BURNHAM |
| Credential | RN |
| Practice Address |
3500 Twin Peaks Blvd Farmington NM 87401-8515 |
| Practice Telephone | 5055998613 |
| Practice Fax Number | 8778671749 |
| Mailing Telephone | 5055998613 |
| Mailing Fax Number | 8778671749 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-77826 | NM | Nursing Service Providers |
| Y | 163WS0200X |
Registered Nurse Specialization: School |
372972 | NM | Nursing Service Providers |
| Street Address |
3500 TWIN PEAKS BLVD |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076115 | Niki Rae Allison | Registered Nurse | 1400 E 23rd St, Farmington, NM 87401-9076 | 2019-01-10 |
| 1326564733 | Monique Lavae Summers | Registered Nurse | 7301 E Main St Apt 1, Farmington, NM 87402-5134 | 2017-08-17 |
| 1023434156 | Jessica Lynn Carpenter | Registered Nurse | 308 E 35th St, Farmington, NM 87401-9309 | 2014-03-13 |
| 1427474568 | Miki Moffitt | Registered Nurse | 5700 College Blvd, Farmington, NM 87402-1773 | 2014-03-13 |
| 1720563166 | Amber Lee Gonzales | Registered Nurse | 701 Mccormick School Rd, Farmington, NM 87401-7141 | 2018-10-02 |
| 1811353295 | Stacy Roquemore | Registered Nurse | 5700 College Blvd, Farmington, NM 87402-1773 | 2016-01-14 |
| 1023412723 | Barbara Walker | Registered Nurse | 1390 E 20th St, Farmington, NM 87401-9037 | 2014-10-09 |
| 1134522246 | Erin Raykiewicz | Registered Nurse | 1390 E 20th St, Farmington, NM 87401-9037 | 2014-10-02 |
| 1659791077 | John Holt | Registered Nurse | 1390 E 20th St, Farmington, NM 87401-9037 | 2014-04-24 |
| 1376963728 | Carly Mead | Registered Nurse | 1390 E 20th St, Farmington, NM 87401-9037 | 2014-04-24 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on MARK BURNHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.