Individual provider Active NPI

Wilma Burks

  • Nurse's Aide
  • Houston, TX
National Provider Identifier
1376041269
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
27699 Issued in TX
Practice address
5603 Northridge Dr
Houston, TX 77033-2937
Phone
(832) 716-0830
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 27699 TX Primary

Addresses

Primary practice location

5603 Northridge Dr
Houston, TX 77033-2937

Mailing address

PO Box 330464
Houston, TX 77233-0464
Phone (832) 716-0830

Other practice location 1

5430 Kenilwood Dr
Houston, TX 77033-2830
Phone (832) 716-0830

Other practice location 2

7725 St Lo Rd
Houston, TX 77033-2840
Phone (713) 885-4069

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

State licenses

LicenseStateTypeSpecialty
27699TXMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Palliative & Hospice Care, LLC Current 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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376041269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330464",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772330464",
            "telephone_number": "832-716-0830",
            "fax_number": "800-396-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 NORTHRIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332937",
            "telephone_number": "832-716-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 Kenilwood Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770332830",
            "country_code": "US",
            "telephone_number": "832-716-0830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7725 St Lo Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770332840",
            "country_code": "US",
            "telephone_number": "713-885-4069",
            "fax_number": "832-716-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "WILMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "27699",
            "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 Mar 17, 2018; 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.