Provider Demographics
NPI:1437576451
Name:BURNS, BARBARA E (PMHNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:BURNS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:E
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:1604 TIPTOP DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1123
Mailing Address - Country:US
Mailing Address - Phone:865-406-7722
Mailing Address - Fax:
Practice Address - Street 1:116 CONCORD RD STE 100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2941
Practice Address - Country:US
Practice Address - Phone:865-888-4100
Practice Address - Fax:865-671-3604
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18498363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10350I0137Medicare PIN