Tracey Michell Burns

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1621 W Walnut Hill LN
Irving, TX 75038-3704

Phone

(469) 276-8442

Fax

(469) 276-6612

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Young Men'S Christian Association of Metropolitan Dallas

  • Health Educator
  • Irving, TX
  • NPI 1164970745
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1417455684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W WALNUT HILL LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383704",
            "telephone_number": "469-276-8442",
            "fax_number": "469-276-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W WALNUT HILL LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383704",
            "telephone_number": "469-276-8442",
            "fax_number": "469-276-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TRACEY",
        "middle_name": "MICHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Patrick Burkett-Edskerud
• Tyra Renay Burks, M.A CCC-SLP
• Courtney Leigh Burns
• Deslaune Burns, M.ED., LPC
• Peri Elizabeth Burns, APRN-CNM
• Sharon S Burr, PHD
• Cameron Burrell
• Leon Burrell
• Burtis Drug, Inc.
• Merkieann Alesia Burton-Madden, PSY. D.

• All providers in Irving, TX
• Health Educator in Texas

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