Active NPI
Xhosa R Burford, LCSW
- Clinical Social Worker
- Tyndall Afb, FL
National Provider Identifier
1306905211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011451
- Practice address
- 340 Magnolia Cir
Tyndall Afb, FL 32403 - Phone
- (850) 283-7370
- Fax
- (850) 283-7500
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 149011451 | IL | Primary |
Addresses
Primary practice location
340 Magnolia Cir
Tyndall Afb, FL 32403
Mailing address
7309 Atkinson Cir
Plainfield, IL 60586-6193
Phone (815) 545-8512
Other practice location 1
340 Magnolia Cir
Tyndall AFB, FL 32403
Phone (850) 283-7370
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | luzminda.g.crump.civ@mail.mil | Direct | |
| Other URL | none | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149011451 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nasr LTD | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1306905211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7309 ATKINSON CIR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605866193",
"telephone_number": "815-545-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAGNOLIA CIR",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "32403",
"telephone_number": "850-283-7370",
"fax_number": "850-283-7500"
}
],
"practiceLocations": [
{
"address_1": "340 Magnolia Cir",
"address_purpose": "LOCATION",
"city": "Tyndall AFB",
"state": "FL",
"postal_code": "32403",
"country_code": "US",
"telephone_number": "850-283-7370",
"fax_number": "850-283-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURFORD",
"first_name": "XHOSA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011451",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "luzminda.g.crump.civ@mail.mil",
"affiliation": "N",
"endpointDescription": "Medical Staff Manager",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "340 Magnolia Cir",
"city": "Tyndall AFB",
"state": "FL",
"country_code": "US",
"postal_code": "324035604",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "none",
"affiliation": "N",
"endpointDescription": "None",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "340 Magnolia Cir",
"city": "Tyndall AFB",
"state": "FL",
"country_code": "US",
"postal_code": "324035604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tyndall Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.