Active NPI
Patricia Burdette, AGENCY OWNER
- Personal Care Attendant
- Memphis, TN
National Provider Identifier
1366043515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 4955 Gertrude Dr
Memphis, TN 38125-5753 - Phone
- (901) 503-8845
- NPI assigned
- Nov 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
4955 Gertrude Dr
Memphis, TN 38125-5753
Mailing address
4955 Gertrude Dr
Memphis, TN 38125-5753
Phone (901) 503-8845
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Burdettepatricia@gmail.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 901 In Transit | Current | Accepting new patients | |
| In Home Care L.L.C | Current | Accepting new patients | |
| Mississippi Home Health LLC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Non-emergency Medical Transport (VAN)
- Memphis, TN
- NPI 1114661691
-
- Home Health Agency
- Memphis, TN
- NPI 1538757117
-
- Home Health Agency
- Memphis, TN
- NPI 1225630718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1366043515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 GERTRUDE DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381255753",
"telephone_number": "901-503-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 GERTRUDE DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381255753",
"telephone_number": "901-503-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDETTE",
"first_name": "PATRICIA",
"credential": "AGENCY OWNER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Burdettepatricia@gmail.com",
"affiliation": "N",
"address_1": "4955 Gertrude Dr",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381255753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.