Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chutima S Burham, AANP

Individual provider Adult Health Nurse Practitioner · NPI 1588420517

Chutima S Burham, AANP is a Nurse Practitioner in Jamestown, New York. Qualified in 2024, 2 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

15 S Main St
Jamestown, NY 14701-6626
Phone: (716) 664-7725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F311694-01 (NY)

Record details

NPI number1588420517
Entity typeIndividual (Type 1)
GenderFemale
Credentials AANP
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESAugust 21, 2024
Certification dateMarch 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jamestown