Caryssa Chantille Burckart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16610 Issued in TX

Practice address

17600 Interstate 45 S
The Woodlands, TX 77384-5148

Phone

(936) 267-5000

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1235820952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ARBOR GREEN LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774694767",
            "telephone_number": "832-602-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 INTERSTATE 45 S",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773845148",
            "telephone_number": "936-267-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCKART",
        "first_name": "CARYSSA",
        "middle_name": "CHANTILLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Buffard, ARNP
• Vy Bui, DMD
• Janis Buice, MA CCC-SLP
• Amy C Bumgardner, MD
• Christy Edwards Bunn, LPC-A
• Larry Winston Burgess, D.D.S.
• Alexander Joseph Buriak, DC
• Henry Leroy Burkholder IV, M.D.
• Ashley Lauren Burks, LPC-ASSOCIATE
• Alexandra Grace Burleson, LPC

• Physician Assistant in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.