Individual provider Active NPI

Sherry Ann Burnam, C.N.M.

  • Advanced Practice Midwife
  • Dallas, TX
National Provider Identifier
1104122829
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1115159 Issued in TX
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113187600MedicaidFL

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

LicenseStateTypeSpecialty
1115159TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.