Active NPI
Deallen Burse, NP
- Women's Health Nurse Practitioner
- Houston, TX
National Provider Identifier
1255419644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 716939
- Practice address
- 14412 Jasmine Terrace LN
Houston, TX 77047-2979 - Phone
- (832) 771-9088
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 716939 | TX | Primary |
Addresses
Primary practice location
14412 Jasmine Terrace LN
Houston, TX 77047-2979
Mailing address
14412 Jasmine Terrace LN
Houston, TX 77047-2979
Phone (832) 771-9088
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 716939 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1255419644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14412 JASMINE TERRACE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770472979",
"telephone_number": "832-771-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14412 JASMINE TERRACE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770472979",
"telephone_number": "832-771-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSE",
"first_name": "DEALLEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "716939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.