Individual provider Active NPI

Lorraine Victorian-Burks, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1033510979
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP126352 Issued in TX
Practice address
2602 Martin Luther King Jr Blvd
Dallas, TX 75215-2309
Phone
(214) 680-9374
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP126352 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP126352 TX Primary
Nurse Practitioner 363L00000X AP126352 TX

Addresses

Primary practice location

2602 Martin Luther King Jr Blvd
Dallas, TX 75215-2309

Mailing address

2602 Martin Luther King Jr Blvd
Dallas, TX 75215-2309
Phone (214) 680-9374

Other practice location 1

14221 E 4th Ave Ste 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

Other practice location 2

2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone (720) 507-4779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170613000614 TX Practitioner - Nurse Practitioner 9537174701 Reassigns benefits to 1 organization
I20220422000562 CO Practitioner - Nurse Practitioner 9537174701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victorian Healthcare Psychiatric/Mental Health CurrentSince Jun 21, 2019 Accepting new patients
Clarity Mental Health, PLLC Psychiatric/Mental Health PastSince Mar 1, 2020 Accepting new patients

Locations

2602 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (214) 421-0821

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1033510979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152309",
            "telephone_number": "214-680-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152309",
            "telephone_number": "214-680-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 S Abilene St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142363",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORIAN-BURKS",
        "first_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP126352",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126352",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.