Active NPI
Sherry Ann Burnam, C.N.M.
- Advanced Practice Midwife
- Dallas, TX
National Provider Identifier
1104122829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1115159
- Practice address
- 5750 Pineland Dr Ste 300a
Dallas, TX 75231-5300 - Phone
- (214) 221-0855
- Fax
- (239) 343-7185
- NPI assigned
- Jan 27, 2011
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1115159 | TX | Primary |
Addresses
Primary practice location
5750 Pineland Dr Ste 300a
Dallas, TX 75231-5300
Mailing address
5750 Pineland Dr Ste 300a
Dallas, TX 75231-5300
Phone (214) 221-0855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113187600 | Medicaid | FL |
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115159 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Ministries Inc. | Past | Accepting new patients | |
| Healing Hands Ministries Inc. | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1306287529
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1427568658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1104122829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 PINELAND DR STE 300A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315300",
"telephone_number": "214-221-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 PINELAND DR STE 300A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315300",
"telephone_number": "214-221-0855",
"fax_number": "239-343-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNAM",
"first_name": "SHERRY",
"middle_name": "ANN",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "1115159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113187600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.