Organization Active NPI

Burds Family Practice

  • Family Nurse Practitioner
  • Peosta, IA
National Provider Identifier
1194432864
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, ARNPNPI 1639433030
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2272774Burds Family Practice8411 Peosta Commercial CT Suite 8, Peosta, IA 52068Certificate of waiverNov 28, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230308002747 IA Part B Supplier - Clinic/Group Practice 5597138735 Receives reassigned benefits from 2 practitioners
Practice locations: Peosta, IA

National Provider Directory

National Provider Directory

Locations

8456 Peosta Commercial Ct
Ste 100
Peosta, IA 52068
Phone (563) 557-3960

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.