Tiffany Dawn Burke, ARNP, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R0084153 Issued in OK

Practice address

1312 N 1St Ave
Durant, OK 74701-2810

Phone

(580) 920-2069

Fax

(866) 404-2313

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Center for Psychological Development, Inc.

  • Mental Health Counselor
  • Durant, OK
  • NPI 1831409440

  TX

  Medicare reassignment NPD
• Dallas Pain Institute

  • Interventional Pain Medicine Physician
  • Rowlett, TX
  • NPI 1194308601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1417036104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "866-404-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759616486",
            "country_code": "US",
            "telephone_number": "936-560-5668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115719",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "R0084153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany@cpdintegrated.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1312 N 1st Ave",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747012810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abby A Bryan
• G Macy Bryant
• Bailey Camille Buck, DO
• Laura Bull, SLP
• Blake M. Bullard, D.D.S.
• Brandi S Burkhalter
• Kasey Dawn Burkhalter, APRN-CNP
• Kristi Lynn Burkhalter
• Angela Burleson
• Hannah Elizabeth Burleson

• Family Medicine Physician in Durant, OK
• Providers in Durant, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.

Verify at the official NPI Registry.