Patricia 71109 Burks

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3209 Darien St
Shreveport, LA 71109-2608

Phone

(318) 349-1111

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1013632983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 DARIEN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711092608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 DARIEN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711092608",
            "telephone_number": "318-349-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "PATRICIA",
        "middle_name": "71109",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Burke, PA
• Susan Burkett, PHYSICAL THERAPIST
• Tara Michelle Burkhalter, PLPC
• Ryan M. Burkholder, MD
• Lasherrica Tarshai Burks
• Shawanda Burks, BA, MHS
• Traci Richards Burks, NURSE PRACTITIONER
• Jennifer Burks,
• Chloe Burleson
• Andrea Lea Burlison, LOTR

• Home Health Aide in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Home Health Aide in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.