Mary H. Burks, R.D.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

726-136 Issued in WV

Practice address

150 Courthouse Rd Ste 301-B
Princeton, WV 24740-2450

Phone

(304) 425-0162

Fax

(304) 425-0163

NPI assigned

Dec 29, 2011

Last updated

Apr 25, 2023By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology and Hypertension

  • Nephrology Physician
  • Bluefield, WV
  • NPI 1356471486
  NPD
• Allan H Sklar MD PC

  dba New River Nephrology

  • Nephrology Physician
  • Christiansburg, VA
  • NPI 1992887665
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1255600722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 DEVONSHIRE CT",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011268",
            "telephone_number": "304-920-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COURTHOUSE RD STE 301-B",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402450",
            "telephone_number": "304-425-0162",
            "fax_number": "304-425-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "MARY",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "WV",
            "license": "726-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Burgess
• Marilyn Burgess
• Seaira Burgess
• Iyanna Burke
• Jeremy T Burks, BS
• Melissa Burks, RN
• Todd F Burnette
• Deborah Sue Burris
• Seward Bush
• Autumn Busick

• Renal Nutrition Registered Dietitian in Princeton, WV
• Providers in Princeton, WV by specialty
• Renal Nutrition Registered Dietitian in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.