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

Holly Anne Burnam

Individual provider Registered Nurse · NPI 1487201091

Holly Anne Burnam is a Nurse Practitioner in South Lake Tahoe, California. Qualified in 2019, 7 years ago. Practices with Barton Medical Foundation, a 96-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2170 S Ave
South Lake Tahoe, CA 96150-7008
Phone: (530) 541-3420
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012441 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 766953 (CA)

Record details

NPI number1487201091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Barton Medical Foundation — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Lake Tahoe