Active NPI
Burds Family Practice
- Family Nurse Practitioner
- Peosta, IA
National Provider Identifier
1194432864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BURDS FAMILY PRACTICE
- Practice address
- 8411 Peosta Commercial CT
Peosta, IA 52068 - Phone
- (563) 588-6659
- NPI assigned
- Nov 2, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Jennifer Marie Burds, ARNP
- Title
- Owner
- Phone
- (563) 451-3273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2272774 | Burds Family Practice | Certificate of waiver | Nov 28, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230308002747 | IA | Part B Supplier - Clinic/Group Practice | 5597138735 |
Receives reassigned benefits from 2 practitioners Practice locations: Peosta, IA |
National Provider Directory
National Provider DirectoryLocations
8456 Peosta Commercial Ct
Ste 100
Peosta, IA 52068
Phone (563) 557-3960
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8411 Peosta Commercial CT
Peosta, IA 52068
Mailing address
10768 Cox Springs Rd
Peosta, IA 52068-9649
Phone (563) 451-3273
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer@burdsfamilypractice.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2023.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1194432864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10768 COX SPRINGS RD",
"city": "PEOSTA",
"state": "IA",
"postal_code": "520689649",
"telephone_number": "563-451-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 PEOSTA COMMERCIAL CT",
"city": "PEOSTA",
"state": "IA",
"postal_code": "52068",
"telephone_number": "563-588-6659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURDS FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-02",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "BURDS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-451-3273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer@burdsfamilypractice.com",
"affiliation": "N",
"endpointDescription": "professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8411 Peosta Commercial Ct",
"city": "Peosta",
"state": "IA",
"country_code": "US",
"postal_code": "52068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Peosta, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.