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Deactivated NPI 1225596836 Deactivated / Inactive NPI Male Practitioner

Thomas Joseph Burckhardt , RN

Registered Nurse • Longview, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Burckhardt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 04, 2019
NPI Deactivation Date May 24, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Thomas Burckhardt, RN was a registered Registered Nurse practicing in Longview, WA. Throughout an active medical career spanning 4 years, Thomas Burckhardt provided care at the practice location at 1044 11TH AVE until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

1044 11th Ave

Longview, WA 986322506

Telephone 3605758275
Fax 3605751952
Associated Practice Facility / Clinic
🏢 Cowlitz Indian Tribe Facility NPI 1851328447

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
68 Specialists

Practicing in Longview, WA (5817 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License WA RN60234681

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Lori Ryan , ARNP

Nurse Practitioner - Family

NPI 1023473352

Advanced Registered Nurse Practitioner

Susan Hather , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1104171677
Stephanie Dunnigan , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1114360989
Dr. Paul Stuber , MD

General Practice

NPI 1326108242

Doctor of Medicine (M.D.)

Elisabeth Hansen , FNP-C

Nurse Practitioner - Family

NPI 1356727069

Family Nurse Practitioner (Certified)

Cheyney Lindgren , ARNP

Nurse Practitioner - Family

NPI 1386824266

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active March 04, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 04, 2019

Registered at 1044 11TH AVE, LONGVIEW, WA 986322506 (Tel: 3605758275)

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Updated Business Mailing Address March 04, 2019

Registered at PO BOX 2429, LONGVIEW, WA 986328486 (Tel: 3605758275)

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Provider Name / Credentials Updated March 04, 2019

Recorded as THOMAS BURCKHARDT, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2019

Registered Nurse (License #RN60234681 in WA)

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Initial NPI Registration & Enumeration March 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225596836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2019
Last Update: March 04, 2019
Deactivation Date: May 24, 2023

Mailing Address

Po Box 2429

Longview, WA 986328486

Phone: 3605758275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.