Individual provider Active NPI

Kasey Goodman Burks, APRN, FNP-C

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1437634789
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10105 Issued in LA
Practice address
903 N 2ND St
Monroe, LA 71201-5837
Phone
(318) 388-2050
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10105 LA Primary

Addresses

Primary practice location

903 N 2ND St
Monroe, LA 71201-5837

Mailing address

617 N 2ND St
Monroe, LA 71201-6235
Phone (318) 366-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000491 LA Practitioner - Nurse Practitioner 7618150574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive HealthcareGroup PAC ID 0244320562, 3 clinicians

Practice addresses (Care Compare)

100 S 2ND St
Monroe, LA 71201-8537
Phone (318) 322-7836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10105LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Healthcare CurrentSince Feb 1, 2019 Accepting new patients

Locations

100 S 2nd St
Monroe, LA 71201
Phone (318) 322-7836

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1437634789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016235",
            "telephone_number": "318-366-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015837",
            "telephone_number": "318-388-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "KASEY",
        "middle_name": "GOODMAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.