Active NPI
Patricia L Burke, ACP
- Marriage & Family Therapist
- Arlington, TX
National Provider Identifier
1093817199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 19856
- Practice address
- 760 N Fielder Rd
Arlington, TX 76012-4635 - Phone
- (817) 247-8706
- NPI assigned
- Sep 1, 2006
- Last updated
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 19856 | TX | Primary |
Addresses
Primary practice location
760 N Fielder Rd
Arlington, TX 76012-4635
Mailing address
760 N Fielder Rd
Arlington, TX 76012-4635
Phone (817) 247-8706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117639803 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19856 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1093817199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 N FIELDER RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124635",
"telephone_number": "817-247-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 N FIELDER RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124635",
"telephone_number": "817-247-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "PATRICIA",
"middle_name": "L",
"credential": "ACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "19856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117639803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.