Individual provider Active NPI

Xhosa R Burford, LCSW

  • Clinical Social Worker
  • Tyndall Afb, FL
National Provider Identifier
1306905211
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011451 Issued in IL
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

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
149011451ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nasr LTD Clinical PastSince Mar 1, 2006 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.

Verify at the official NPI Registry.