Patricia S Burks, AT

Key facts

NPI

1013149871

Entity type

Individual (NPI type 1)

Primary specialty

Counselor 101Y00000X

Practice address

412 N Washington Ave
El Dorado, AR 71730-5616

Phone

(870) 863-4611

Fax

(870) 863-4962

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2009.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1013149871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 BLEAUX AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620737",
            "telephone_number": "479-872-5580",
            "fax_number": "479-872-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N WASHINGTON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305616",
            "telephone_number": "870-863-4611",
            "fax_number": "870-863-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

• Kris Bryan, APN
• D'Orsay D Bryant III, M.D.
• Renee J Bryant, SLP
• Christy Buhrman, APRN
• Kamea Burgie
• Anita Burleson, NP
• Carla Denise Burns
• Loranda Tamil Burns
• Joseph J. Burroff, CRNA
• Laine Makenzie Burson

All providers in El Dorado, AR · Counselor in Arkansas