MRS. AMBER HOLLAND BURLESON (NPI# 1922607712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922607712 |
Entity Type | Individual |
Full Name | MRS. AMBER HOLLAND BURLESON |
Credential | PMHNP-BC |
Practice Address |
1635 W Michigan St Indianapolis IN 46222-3852 |
Mailing Address |
234 N Gray St Indianapolis IN 46201-3344 |
Practice Telephone | 3175243999 |
Mailing Telephone | 4234300935 |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28221990A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1635 W MICHIGAN ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46222-3852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538391735 | Christy Lyn Walters | Counselor | 1635 W Michigan St, Indianapolis, IN 46222-3852 | 2009-08-20 |
1215540281 | Elizabeth Sigler | Registered Nurse | 1635 W Michigan St, Indianapolis, IN 46222-3852 | 2020-08-28 |
1568990950 | Sara Shirleen Pollard | Nurse Practitioner | 1635 W Michigan St, Indianapolis, IN 46222-3852 | 2017-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
Find all providers in zip 46222 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
1912453937 | Andrew J Slaton | Nurse Practitioner | 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 | 2016-08-30 |
1528487659 | Elise S Montoya | Nurse Practitioner | 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 | 2014-04-16 |
1982046587 | Hillary A House | Nurse Practitioner | 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
1982936175 | Krista Schwuchow | Nurse Practitioner | 3403 E Raymond St, Indianapolis, IN 46203-4744 | 2010-02-12 |
1730265356 | Tammy Jo Bradford | Nurse Practitioner | 5251 S East St Ste 25b, Indianapolis, IN 46227-2061 | 2006-10-27 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46222 |
Please comment or provide details below to improve the information on MRS. AMBER HOLLAND BURLESON.
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.