Provider Demographics
NPI:1972488963
Name:BURTT, KATHARINE (RN)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:BURTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 SMITH RIDGE PVT RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:TN
Mailing Address - Zip Code:37640-7737
Mailing Address - Country:US
Mailing Address - Phone:828-719-9786
Mailing Address - Fax:
Practice Address - Street 1:425 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13904-1775
Practice Address - Country:US
Practice Address - Phone:607-724-1391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY956106163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health