Active NPI
Cassidy Jean Burke, LAT, ATC
- Athletic Trainer
- El Maton, TX
National Provider Identifier
1609493972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT7920
- Practice address
- 205 FM 1095
El Maton, TX 77440 - Phone
- (979) 843-4300
- Fax
- (979) 843-4309
- NPI assigned
- Jul 2, 2020
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT7920 | TX | Primary |
Addresses
Primary practice location
205 FM 1095
El Maton, TX 77440
Mailing address
205 FM 1095
El Maton, TX 77440
Phone (832) 372-7765
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Cburke2@houstonmethodist.org | Direct | Houston Methodist Hospital Sugar Land |
| Direct Messaging Address | cburke2@houstonmethodist.org | Direct | Houston Methodist Hospital Sugar Land |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT7920 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1609493972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 FM 1095",
"city": "EL MATON",
"state": "TX",
"postal_code": "77440",
"telephone_number": "832-372-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FM 1095",
"city": "EL MATON",
"state": "TX",
"postal_code": "77440",
"telephone_number": "979-843-4300",
"fax_number": "979-843-4309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "CASSIDY",
"middle_name": "JEAN",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2023-11-27",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT7920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Cburke2@houstonmethodist.org",
"affiliation": "Y",
"endpointDescription": "Work email",
"affiliationName": "Houston Methodist Hospital Sugar Land",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "205 FM 1095",
"city": "El Maton",
"state": "TX",
"country_code": "US",
"postal_code": "77440",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cburke2@houstonmethodist.org",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "Houston Methodist Hospital Sugar Land",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "205 FM 1095",
"city": "El Maton",
"state": "TX",
"country_code": "US",
"postal_code": "77440",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in El Maton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.