Traci Burrell, NP

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

8995619 Issued in TN

Practice address

10651 E St
Attention Medical Staff Services Office
Corpus Christi, TX 78419-5130

Phone

(361) 961-2273

NPI assigned

Jul 11, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1568879401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 E ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 E ST",
            "address_2": "ATTENTION MEDICAL STAFF SERVICES OFFICE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130",
            "telephone_number": "361-961-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "TRACI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "8995619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Walter Burgin Jr., M.D.
• Nicole Isabel Burk, FNP-C
• Kilee Lavonne Burke
• John C. Burkholder, PHYSICAL THERAPIST
• Taylor Burns
• Roxana Christel Burris, LBA
• Kayla Burrow
• Rebecca D Burton, SOCIAL WORKER (LCSW)
• James G Busby, O.D.
• Bryce Jacob Busenlehner, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.