Active NPI
Jodie Lynn Burriss, FNP
- Family Nurse Practitioner
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 671024
- Practice address
- 4404 19TH St
Suite C
Lubbock, TX 79407-2424 - Phone
- (806) 795-8150
- Fax
- (806) 791-6688
- NPI assigned
- Nov 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 671024 | TX | Primary |
Addresses
Primary practice location
4404 19TH St
Suite C
Lubbock, TX 79407-2424
Mailing address
3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 671024 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Current | Accepting new patients | |
| Covenant Medical Group | Current | Accepting new patients | |
| Consultants in Infectious Diseases | Past | Accepting new patients | |
| Consultants in Infectious Diseases | Past | Accepting new patients |
Locations
4404 19th St
Ste C
Lubbock, TX 79407
Phone (806) 795-8150
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800
4102 24th St
Ste 403
Lubbock, TX 79410
Phone (806) 725-7150
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0afb6793-ac40-40a5-8123-d13a308d2792/
- jburriss1928948@oc.providencedirect.org
- https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
-
dba Covenant Family Healthcare Center
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
-
- Infectious Disease Physician
- Lubbock, TX
- NPI 1578569893
-
- Infusion Therapy Clinic/Center
- Lubbock, TX
- NPI 1588997225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1386944817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101314",
"telephone_number": "806-725-5844",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 19TH ST",
"address_2": "SUITE C",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072424",
"telephone_number": "806-795-8150",
"fax_number": "806-791-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRISS",
"first_name": "JODIE",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "671024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.