Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROL ANN BURCKHARDT PMHNP
NPI 1124076013
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Carol Burckhardt's NPI number?

The NPI number for Carol Burckhardt is 1124076013. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Carol Burckhardt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Carol Burckhardt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2006

727 W BURNSIDE, PORTLAND, OR 97209(503) 228-4533 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carol Ann Burckhardt Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL ANN BURCKHARDT PMHNP (NPI 1124076013) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (083040504N6) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1124076013

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCAROL ANN BURCKHARDTCredential: PMHNP

Location Address727 W BURNSIDEPortland, OR 97209

Mailing Address244 Greenridge Dr.Lake Oswego, OR 97035 · (503) 228-4533

Phone(503) 228-4533

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1124076013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 083040504N6

727 W BURNSIDE, Portland, OR 97209

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH GRACE COOPER PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

727 W BURNSIDE
PORTLAND, OR 97209

Multnomah County (503) 228-4533

CHUCK HAROLD SVE L.AC.

Acupuncturist

727 W BURNSIDE
PORTLAND, OR 97209

Multnomah County (503) 228-4533

LAURA ELIZABETH OCKER L.AC.

Acupuncturist

727 W BURNSIDE
PORTLAND, OR 97209

Multnomah County (503) 228-4533

KATHLEEN GOODWIN GOFORTH L.AC.

Acupuncturist

727 W BURNSIDE
PORTLAND, OR 97209

Multnomah County (503) 228-4533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Burckhardt's NPI number?

The NPI number for Carol Burckhardt is 1124076013. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Carol Burckhardt located?

Carol Burckhardt practices at 727 W Burnside, Portland, OR 97209. The listed phone number is (503) 228-4533.

What is Carol Burckhardt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Carol Burckhardt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.