Individual provider Active NPI

Heather D Burkleo, APRN- CNP

  • Family Nurse Practitioner
  • Whitesboro, TX
National Provider Identifier
1164201844
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1135937 Issued in TX
Practice address
109 Bois D Arc St
Whitesboro, TX 76273-1903
Phone
(903) 564-3366
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1135937 TX Primary

Addresses

Primary practice location

109 Bois D Arc St
Whitesboro, TX 76273-1903

Mailing address

109 Bois D Arc St
Whitesboro, TX 76273-1903
Phone (903) 564-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003194 TX Practitioner - Nurse Practitioner 2668820713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Medical Clinic LLCGroup PAC ID 4880011295, 2 clinicians

Practice addresses (Care Compare)

109 Bois D Arc St
Whitesboro, TX 76273-1903
Phone (903) 564-3366

Hospital & facility affiliations

  • First Texas Home Health Home health agency, Whitesboro, TX, CCN 458193
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • North Texas Medical Center Hospital, Gainesville, TX, CCN 450090
  • Carrus Specialty Hospital Long-term care hospital, Sherman, TX, CCN 452041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Medical Clinic LLC Single Specialty CurrentSince Sep 22, 2023 Accepting new patients

Locations

109 Bois D Arc St
Whitesboro, TX 76273
Phone (903) 564-3366

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1164201844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BOIS D ARC ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731903",
            "telephone_number": "903-564-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOIS D ARC ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731903",
            "telephone_number": "903-564-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLEO",
        "first_name": "HEATHER",
        "middle_name": "D",
        "credential": "APRN- CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1135937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

Verify at the official NPI Registry.