Individual provider Active NPI

Kathy Mae Burpo

  • Driver
  • Poplar Bluff, MO
National Provider Identifier
1245159573
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
1789 County Road 459
Poplar Bluff, MO 63901-7670
Phone
(636) 582-0063
NPI assigned
Jul 11, 2026
Sex
Female
Sole proprietor
No

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)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1789 County Road 459
Poplar Bluff, MO 63901-7670

Mailing address

1789 County Road 459
Poplar Bluff, MO 63901-7670
Phone (636) 582-0063

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2026.

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1245159573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 COUNTY ROAD 459",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017670",
            "telephone_number": "636-582-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 COUNTY ROAD 459",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017670",
            "telephone_number": "636-582-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURPO",
        "first_name": "KATHY",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.